Organization
BLUE STONE FRISCO JV, LLP
Active
Other names
Blue Star Imaging at The Star
Organization subpart
No
Provider details
NPI number
Authorized official
KATRINA ROELLE (DIRECTOR OF CREDENTIALING)
(614) 689-1691
Entity
Organization
Contact information
Practice address
3800 GAYLORD PKWY STE 150, FRISCO, TX 75034-9418
(972) 497-4100
(972) 497-4104
Mailing address
PO BOX 746509, ATLANTA, GA 30374-6509
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
—
—
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
01/17/2018
Last updated
11/06/2023
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