Organization Active NPI

Valiant Cardiopulmonary Independent Diagnostic Testing Facility

  • Clinic/Center
  • Killeen, TX
National Provider Identifier
1720221765
Registry record updated Dec 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
VALIANT CARDIOPULMONARY INDEPENDENT DIAGNOSTIC TESTING FACILITY
Practice address
1010 W Jasper Dr
Suite 11
Killeen, TX 76542-1331
Phone
(254) 213-5425
Fax
(254) 616-9450
NPI assigned
Apr 7, 2009
Last updated
Dec 14, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2012

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

Authorized official

Name
Mrs. Bettie Gene Hankins, RRT-NPS, RPFTNPI 1548407802
Title
President
Phone
(254) 213-5425

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary
Physiological Laboratory 293D00000X NU

Addresses

Primary practice location

1010 W Jasper Dr
Suite 11
Killeen, TX 76542-1331

Mailing address

1010 W Jasper Dr
Suite 11
Killeen, TX 76542-1331
Phone (254) 213-5425

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090915000115 TX Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 0749336832 Practice locations: Killeen, TX

National Provider Directory

National Provider Directory

Locations

1010 W Jasper Dr
Ste 11
Killeen, TX 76542
Phone (254) 213-5425

Practitioners & affiliated clinicians

Practitioners 3

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": "1239062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355443200000",
    "number": "1720221765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 W JASPER DR",
            "address_2": "SUITE 11",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765421331",
            "telephone_number": "254-213-5425",
            "fax_number": "254-616-9450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 W JASPER DR",
            "address_2": "SUITE 11",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765421331",
            "telephone_number": "254-213-5425",
            "fax_number": "254-616-9450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALIANT CARDIOPULMONARY INDEPENDENT DIAGNOSTIC TESTING FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-07",
        "last_updated": "2012-12-14",
        "status": "A",
        "authorized_official_last_name": "HANKINS",
        "authorized_official_first_name": "BETTIE",
        "authorized_official_middle_name": "GENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "254-213-5425",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RRT-NPS, RPFT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2012; 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.