Organization Active NPI

Blue Stone Frisco JV, LLP

  • Physiological Laboratory
  • Frisco, TX
National Provider Identifier
1285587469
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
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

Updated by the provider on Apr 7, 2026

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)CodeLicenseStatePrimary
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 Doing business as

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
45D2344638Blue Star Imaging at Pga Parkway16050 Everwell Suite 110, Frisco, TX 75033Certificate of waiverMay 26, 2028

National Provider Directory

National Provider Directory
Tax ID family
Blue Star Imaging at Pga Parkway3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

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.

Verify at the official NPI Registry.