NPIMap

Organization Active NPI

Roadrunner Ultrasound Equipment, LLC

  • Physiological Laboratory
  • Bastrop, TX
National Provider Identifier
1598286148
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
ROADRUNNER ULTRASOUND EQUIPMENT, LLC
Practice address
150 Settlement Dr Ste D
Bastrop, TX 78602-9662
Phone
(866) 972-9786
NPI assigned
Jul 5, 2017
Last updated
May 17, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
ROADRUNNER RADIOLOGY EQUIPMENT, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 17, 2022

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

Authorized official

Name
Joni Jack, ARRT (RT)
Title
Administrator
Phone
(866) 972-9786

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X NU Primary

Addresses

Primary practice location

150 Settlement Dr Ste D
Bastrop, TX 78602-9662

Mailing address

150 Settlement Dr Ste D
Bastrop, TX 78602-9662

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170717003633 TX Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 7719257187 Practice locations: Bastrop, TX
O20250730000087 CO Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 7719257187 Practice locations: Wheat Ridge, CO

National Provider Directory

National Provider Directory
Part of
Roadrunner Radiology Equip

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

10900 W 44th Ave
Ste 105
Wheat Ridge, CO 80033
Phone (866) 972-9786

704 Highway 71 W
Ste C300
Bastrop, TX 78602
Phone (866) 972-9786

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1499212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652745600000",
    "number": "1598286148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 SETTLEMENT DR STE D",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786029662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 SETTLEMENT DR STE D",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786029662",
            "telephone_number": "866-972-9786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROADRUNNER ULTRASOUND EQUIPMENT, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROADRUNNER RADIOLOGY EQUIPMENT, LLC",
        "enumeration_date": "2017-07-05",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A",
        "authorized_official_last_name": "JACK",
        "authorized_official_first_name": "JONI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "866-972-9786",
        "authorized_official_credential": "ARRT (RT)"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bastrop, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.