Organization
BLUE STONE FRISCO JV, LLP
Active
Other names
Blue Star Imaging at PGA Parkway
Organization subpart
No
Provider details
NPI number
Authorized official
KATRINA ROELLE (DIRECTOR OF CREDENTIALING)
(614) 689-1691
Entity
Organization
Contact information
Practice address
16050 EVERWELL LN STE 110, FRISCO, TX 75033-4606
(972) 785-4600
(972) 785-4601
Mailing address
700 E MOREHEAD ST STE 300, CHARLOTTE, NC 28202-2742
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
—
—
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
02/18/2026
Last updated
04/07/2026
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