Blue Star Biotek,LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

BLUE STAR BIOTEK,LLC

Practice address

4208 Hackmore Loop
Irving, TX 75061-6114

Phone

(817) 892-4169

Fax

(817) 892-4044

NPI assigned

Mar 7, 2016

Last updated

Mar 7, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rick Shafer

Title

President

Phone

(817) 892-4169

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1457308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457308800000",
    "number": "1881054609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4208 HACKMORE LOOP",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750616114",
            "telephone_number": "817-892-4169",
            "fax_number": "817-892-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4208 HACKMORE LOOP",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750616114",
            "telephone_number": "817-892-4169",
            "fax_number": "817-892-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE STAR BIOTEK,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-07",
        "last_updated": "2016-03-07",
        "status": "A",
        "authorized_official_last_name": "SHAFER",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-892-4169"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Michael Bliss, M.D. PH.D.
• Blissteq Inc
• Keith D Bloom, MD
• Blue Diamond Anesthesia PLLC
• Blue Light Therapies LLC
• Blue Star Imaging
• Blue Star Imaging, LP
• Blue Star Rehabilitation, LLC
• Blue Star Surgery Center LLC
• Blue Stone JV LLP (Touchstone Imaging Las Colinas)

• Durable Medical Equipment & Medical Supplies in Irving, TX
• Providers in Irving, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.