Active NPI
Blue Stone Frisco JV, LLP
- Physiological Laboratory
- Frisco, TX
National Provider Identifier
1285587469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physiological Laboratory
- Legal business name
- BLUE STONE FRISCO JV, LLP
- Practice address
- 16050 Everwell LN Ste 110
Frisco, TX 75033-4606 - Phone
- (972) 785-4600
- Fax
- (972) 785-4601
- NPI assigned
- Feb 18, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Katrina Roelle
- Title
- Director of Credentialing
- Phone
- (614) 689-1691
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | |||
| Physiological Laboratory | 293D00000X | Primary |
Addresses
Primary practice location
16050 Everwell LN Ste 110
Frisco, TX 75033-4606
Mailing address
700 E Morehead St Ste 300
Charlotte, NC 28202-2742
Other names 1
- Blue Star Imaging at PGA Parkway
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2344638 | Blue Star Imaging at Pga Parkway | Certificate of waiver | May 26, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Blue Star Imaging at Pga Parkway
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physiological Laboratory
- Frisco, TX
- NPI 1700394392
-
- Radiology Clinic/Center
- Frisco, TX
- NPI 1477061794
Locations
16050 Everwell Ln
Ste 110
Frisco, TX 75033
Phone (972) 785-4600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771372800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1775520000000",
"number": "1285587469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 E MOREHEAD ST STE 300",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282022742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16050 EVERWELL LN STE 110",
"city": "FRISCO",
"state": "TX",
"postal_code": "750334606",
"telephone_number": "972-785-4600",
"fax_number": "972-785-4601"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLUE STONE FRISCO JV, LLP",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-18",
"last_updated": "2026-04-07",
"certification_date": "2026-04-07",
"status": "A",
"authorized_official_last_name": "ROELLE",
"authorized_official_first_name": "KATRINA",
"authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
"authorized_official_telephone_number": "614-689-1691"
},
"taxonomies": [
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "293D00000X",
"taxonomy_group": "",
"desc": "Physiological Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Blue Star Imaging at PGA Parkway",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.