NPIMap

Organization Active NPI

Blue Stone Frisco JV, LLP

Doing business as Blue Star Imaging at The Star

  • Physiological Laboratory
  • Frisco, TX
National Provider Identifier
1700394392
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
BLUE STONE FRISCO JV, LLP
Doing business as
Blue Star Imaging at The Star
Practice address
3800 Gaylord Pkwy Ste 150
Frisco, TX 75034-9418
Phone
(972) 497-4100
Fax
(972) 497-4104
NPI assigned
Jan 17, 2018
Last updated
Oct 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 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 NU
Physiological Laboratory 293D00000X NU Primary

Addresses

Primary practice location

3800 Gaylord Pkwy Ste 150
Frisco, TX 75034-9418

Mailing address

PO Box 746509
Atlanta, GA 30374-6509

Other names 1

  • Blue Star Imaging at The Star Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180731004212 TX Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 6103181045 Practice locations: Frisco, TX

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
45D1001573BSW Primary Care at the Star3800 Gaylord Parkway Ste 910, Frisco, TX 75034Certificate of waiverApr 24, 2027
45D2144861Blue Star Imaging at the Star3800 Gaylord Parkway Suite 150, Frisco, TX 75034Certificate of waiverFeb 25, 2028
45D2313119Tricelx Star3800 Gaylord Pkwy Ste 1170, Frisco, TX 75034Certificate of waiverOct 23, 2026

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.

Member of 2

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

Locations

3800 Gaylord Pkwy
Ste 150
Frisco, TX 75034
Phone (972) 497-4100

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1516147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791158400000",
    "number": "1700394392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746509",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 GAYLORD PKWY STE 150",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750349418",
            "telephone_number": "972-497-4100",
            "fax_number": "972-497-4104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE STONE FRISCO JV, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-17",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "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": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Star Imaging at The Star",
            "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 Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.