NPIMap

Organization Active NPI

Rockdale Blackhawk, LLC

Doing business as Richards Memorial Imaging Bay Colony

  • Physiological Laboratory
  • Dickinson, TX
National Provider Identifier
1437448156
Registry record updated Apr 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
ROCKDALE BLACKHAWK, LLC
Doing business as
Richards Memorial Imaging Bay Colony
Practice address
2401 FM 646 Rd W
Suite B
Dickinson, TX 77539-3249
Phone
(512) 445-4502
NPI assigned
Apr 4, 2011
Last updated
Apr 4, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2011

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

Authorized official

Name
Kevin Owens
Title
Owner
Phone
(512) 445-4502

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

2401 FM 646 Rd W
Suite B
Dickinson, TX 77539-3249

Mailing address

2401 FM 646 Rd W
Suite B
Dickinson, TX 77539-3249

Other names 1

  • Richards Memorial Imaging Bay Colony Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rockdale Blackhawk LLC15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301875200000",
    "number": "1437448156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 FM 646 RD W",
            "address_2": "SUITE B",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "775393249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 FM 646 RD W",
            "address_2": "SUITE B",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "775393249",
            "telephone_number": "512-445-4502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKDALE BLACKHAWK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-04",
        "last_updated": "2011-04-04",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-445-4502"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Richards Memorial Imaging Bay Colony",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dickinson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; 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.