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Northwest Detroit Dialysis Center LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Southfield, MI · enumerated 2006 · authorized official David Shepherd, Vice President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1083634463

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Registry record

Entity type Organization (Type 2)
Legal business name Northwest Detroit Dialysis Center LLC
Practice address 25664 Lahser Rd, Southfield, MI, 48033
Fax (248) 358-7522
Enumeration date Jul 20, 2006
Last updated in NPPES Oct 15, 2012

Taxonomy & classification

261QE0700X End-Stage Renal Disease (ESRD) Treatment Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name David Shepherd
Title Vice President

Other identifiers

Identifier Type State Issuer
14296 Other - M CARE
10078540001 Other - WELLNESS
1008733 Other - OMNICARE
D8956 Other - FED BLUE CROSS PRIMARY
232544 Other - HAP
4568218 Medicaid MI -
000000003402 Other - CAPE
138129 Other - PREFERRED CHOICE
138129 Other - CARE CHOICES
D8956 Other - BLUE CROSS PRIMARY
D9466 Other - BLUE CROSS SECONDARY
D9466 Other - FED BLUE CROSS SECONDARY
P09457 Other - BLUE CARE NETWORK
5066 Other - GREATLAKES

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Northwest Detroit Dialysis Center LLC?
Northwest Detroit Dialysis Center LLC is registered in NPPES as a End-Stage Renal Disease (ESRD) Treatment Clinic/Center (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-10-15.