Organization Active NPI

Btdi JV, LLP

  • Physiological Laboratory
  • Mansfield, TX
National Provider Identifier
1891292074
Registry record updated Apr 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
BTDI JV, LLP
Practice address
1750 Broad Park Cir S Ste 300
Mansfield, TX 76063-7835
Phone
(615) 661-9200
NPI assigned
Apr 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2018

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

Authorized official

Name
Brian J Smith
Title
Chief Development Officer & Treasur
Phone
(615) 620-9200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

1750 Broad Park Cir S Ste 300
Mansfield, TX 76063-7835

Mailing address

1431 Perrone Way
Franklin, TN 37069-4244
Phone (615) 620-5542

National Provider Directory

National Provider Directory

Member of 1

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

Locations

1750 Broad Park Cir S
#M
Mansfield, TX 76063
Phone (682) 518-1234

NPI Registry JSON

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

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523491200000",
    "number": "1891292074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 PERRONE WAY",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370694244",
            "telephone_number": "615-620-5542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 BROAD PARK CIR S STE 300",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760637835",
            "telephone_number": "615-661-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BTDI JV, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-12",
        "last_updated": "2018-04-12",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF DEVELOPMENT OFFICER & TREASUR",
        "authorized_official_telephone_number": "615-620-9200"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2018; 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.