NPIMap

Organization Active NPI

Btdi JV LLP

  • Physiological Laboratory
  • Fort Worth, TX
National Provider Identifier
1154769503
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
BTDI JV LLP
Practice address
5455 Basswood Blvd Ste 550
Fort Worth, TX 76137-4478
Phone
(817) 428-5002
NPI assigned
Jun 7, 2013
Organization subpart
Yes
Parent organization
BTDI JV LLPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kate Roelle
Title
Director of Credentialing
Phone
(614) 689-1691

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

5455 Basswood Blvd Ste 550
Fort Worth, TX 76137-4478

Mailing address

PO Box 746003
Atlanta, GA 30374-6003

Other names 1

  • Touchstone Imaging Fossil Creek Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140612001890 TX Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 9931336336 Practice locations: Fort Worth, TX

National Provider Directory

National Provider Directory
Tax ID family
Btdi JV LLP41 organizations share this tax ID, including this one
Part of
Btdi JV LLP

Other organizations with this tax ID 40

Organizations that report the same tax identification number in the National Provider Directory.

View all 40

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 105

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 105

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1370563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699228800000",
    "number": "1154769503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746003",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5455 BASSWOOD BLVD STE 550",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761374478",
            "telephone_number": "817-428-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BTDI JV LLP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BTDI JV LLP",
        "enumeration_date": "2013-06-07",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A",
        "authorized_official_last_name": "ROELLE",
        "authorized_official_first_name": "KATE",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "614-689-1691"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Touchstone Imaging Fossil Creek",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Touchstone Imaging Fossil Creek",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.