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ROCKDALE BLACKHAWK LLC NPI 1437448156


NPI Information

NPI: 1437448156
Provider Name: ROCKDALE BLACKHAWK, LLC

Doing Business As: RICHARDS MEMORIAL IMAGING BAY COLONY

Classification: Physiological Laboratory - 293D00000X
Entity Type: Organization
Address:
2401 FM 646 RD W
SUITE B
DICKINSON, TX
ZIP 77539
Phone: (512) 445-4502
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ROCKDALE BLACKHAWK, LLC is a physiological laboratory in Dickinson, TX. The provider is a laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. ROCKDALE BLACKHAWK, LLC NPI is 1437448156. The provider is registered as an organization entity type.
The provider Is Doing Business As Richards Memorial Imaging Bay Colony.

The provider's business location address is:

2401 FM 646 RD W
SUITE B
DICKINSON, TX
ZIP 77539-249
Phone: (512) 445-4502

The provider's authorized official is Kevin Owens .
The authorized official title is Owner and has the following contact phone number (512) 445-4502.

The enumeration date for this NPI number is 4/4/2011 and was last updated on 4/4/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1293D00000XPhysiological LaboratoryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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