Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lake Gray Dialysis Center LLC

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1588017784

Lake Gray Dialysis Center LLC is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Jacksonville, Florida. Medicare rates this dialysis facility 3 out of 5. Registered with an NPI since 2016.

CMS rating
3 of 5
In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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CMS quality rating

3 out of 5 — official dialysis facility rating from CMS Care Compare (CCN 682613)

Practice location Address checks out

6196 Lake Gray Blvd Ste 112
Jacksonville, FL 32244-7503
Phone: (904) 772-0933
Fax: (904) 772-0934
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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

Record details

NPI number1588017784
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sara Brady — Chief Nursing Officer · (208) 371-7878
Other names Ara Collins Road Dialysis Center; Ara Collins Road Dialysis Center
NPI enumeratedJuly 22, 2016
Last updated in NPPESJuly 6, 2026
Certification dateJuly 6, 2026
Mailing address6196 Lake Gray Blvd, Suite 112, Jacksonville, FL 32244-7503

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