Bluescrubs Diagnostics, LLC

Primary specialty

Health Information TechnicianTaxonomy code 247000000X

Legal business name

BLUESCRUBS DIAGNOSTICS, LLC

Practice address

4100 Spring Valley Rd Ste 632
Dallas, TX 75244-3629

Phone

(972) 220-8619

NPI assigned

Oct 19, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Jermaine Andre WadeNPI 1003286733

Title

President

Phone

(972) 220-8619

Specialties & licenses 1

Addresses

Other names 1

• BlueScrubs Medical Services Doing business as

Locations

Practitioners 1

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

• Jermaine Wade

  • Health Information Technician
  • Dallas, TX
  • NPI 1003286733

  Technician, Health Information

  NPD (past) Authorized official

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

{
    "created_epoch": "1445212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471824000000",
    "number": "1376914218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 SPRING VALLEY RD STE 632",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752443629",
            "telephone_number": "972-220-8619",
            "fax_number": "972-421-1674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 SPRING VALLEY RD STE 632",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752443629",
            "telephone_number": "972-220-8619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUESCRUBS DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-19",
        "last_updated": "2016-08-22",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "JERMAINE",
        "authorized_official_middle_name": "ANDRE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-220-8619",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "247000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician, Health Information",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BlueScrubs Medical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Dallas, TX
• Health Information Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.