NPIMap

Organization Active NPI

Btdi JV, LLP

  • Physiological Laboratory
  • Irving, TX
National Provider Identifier
1164992137
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
2005 West Park Dr
Suite 110
Irving, TX 75061-2034
Phone
(469) 299-8549
NPI assigned
Dec 3, 2018
Organization subpart
No

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

2005 West Park Dr
Suite 110
Irving, TX 75061-2034

Mailing address

PO Box 746003
Atlanta, GA 30374-6003

Other names 1

  • Touchstone Imaging Irving Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190219000467 TX Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 9931336336 Practice locations: Irving, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0481026Dna - Irving Op2005 W Park Suite 200, Irving, TX 75061Provider-performed microscopyAug 31, 2026
45D1014874Baylor Scott & White Endocrinology Irving2005 W Park Dr Suite 300, Irving, TX 75061Certificate of waiverJul 17, 2027
45D2159241Touchstone Imaging Irving2005 West Park Dr Suite 110, Irving, TX 75061Certificate of waiverDec 13, 2026

National Provider Directory

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

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 65

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

View all 65

NPI Registry JSON

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

{
    "created_epoch": "1543795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699228800000",
    "number": "1164992137",
    "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": "2005 WEST PARK DR",
            "address_2": "SUITE 110",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750612034",
            "telephone_number": "469-299-8549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BTDI JV, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-03",
        "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 Irving",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irving, 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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.