Great Lakes Dialysis, LLC
Great Lakes Dialysis, LLC is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Detroit, Michigan. Medicare rates this dialysis facility 1 out of 5. Licensed in Michigan.
- CMS rating
- 1 of 5
- Licensed in
- MI
- In the registry since
- 2006
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
CMS quality rating
Practice location Address checks out
14614 Kercheval StDetroit, MI 48215-2814
Phone: (313) 308-4200
Fax: (313) 332-0334
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center (primary) | Taxonomy 261QE0700X · Licence 4301072901 (MI) |
|---|
Record details
| NPI number | 1720095417 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Morufu Alausa — Authorized Official / Cmo · (815) 741-6830 |
| Other names | Dialysis Care Center Great Lakes East |
| NPI enumerated | August 2, 2006 |
| Last updated in NPPES | April 7, 2025 |
| Certification date | April 7, 2025 |
| Mailing address | Po Box 428, Lockport, IL 60441-6428 |
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