Organization Name: | BTDI BLUE STAR JV ONE LLP |
NPI Number: | 1811357114 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRISTIAN C RICE (CEO) |
Mailing Address: | 1 Cowboys Pkwy Irving |
State: | TX US |
Postal Code: | 750634924 |
Phone Number: | 2146476161 |
Fax Number: | |
NPI Enumeration Date: | 02/29/2016 |
NPI Last Update Date: | 03/30/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 293D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Laboratories |
Taxonomy Classification: | Physiological Laboratory |
Taxonomy Specialization: | |
Taxonomy Definition: | A laboratory that operates independently of a hospital and physician |