OrganizationActive
Our Lady of Lourdes Medical Center
NPI 1174516280 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Mount Laurel, NJ
Provider details
- NPI number
- 1174516280
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Andrew Guarni, Cfo(856) 824-3131
- License
- 10404 (NJ)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
130 Gaither Dr
Suite 172
Mount Laurel, NJ 08054-1715
Phone: (856) 757-3776
Street-level locationGet directions
Mailing address
100 Front St
Riverside, NJ 08075-1181
Other names (DBA / former)
- Doing business as
- Lourdes Mt. Laurel Dialysis Unit
Registry dates
- Enumerated
- 2005-08-24
- Last updated
- 2007-12-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.