ROCKDALE BLACKHAWK LLC (NPI# 1083903843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083903843 |
Entity Type | Organization |
Organization Name | ROCKDALE BLACKHAWK LLC |
Other Organization Name | RICHARDS MEMORIAL IMAGING FAIRMONT |
Practice Address |
3692 E Sam Houston Pkwy S Pasadena TX 77505-3137 |
Practice Telephone | 5124504502 |
Enumeration Date | 2011-04-01 |
Last Update Date | 2011-04-01 |
Authorized Official Name | KEVIN OWENS (OWNER) |
Authorized Official Telephone | 5124454502 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 293D00000X | Physiological Laboratory | Laboratories |
Other Name | Type Code |
---|---|
Richards Memorial Imaging Fairmont | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073924932 | Rockdale Blackhawk LLC | Prosthetic/Orthotic Supplier | 1512 Leander Rd, Georgetown, TX 78628-8801 | 2014-05-14 |
1407072358 | Rockdale Blackhawk LLC | Clinic/Center | 708 N Crockett Ave, Cameron, TX 76520-2551 | 2007-04-18 |
1679904577 | Rockdale Blackhawk LLC | Durable Medical Equipment & Medical Supplies | 1905 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2013-12-03 |
1174953467 | Rockdale Blackhawk LLC | Durable Medical Equipment & Medical Supplies | 1717 Sw H K Dodgen Loop, Temple, TX 76502-1838 | 2013-11-22 |
1811339831 | Rockdale Blackhawk LLC | Prosthetic/Orthotic Supplier | 1904 Railroad St, Georgetown, TX 78626-7718 | 2013-07-18 |
1033483086 | Rockdale Blackhawk LLC | General Practice | 5656 Bee Cave Rd, Suite M-300, West Lake Hills, TX 78746-5280 | 2012-03-07 |
1245514975 | Rockdale Blackhawk LLC | Clinic/Center | 715 Discovery Blvd, Suite 102, Cedar Park, TX 78613-2287 | 2011-09-29 |
1831479682 | Rockdale Blackhawk LLC | Clinic/Center | 1528 Leander Rd, Georgetown, TX 78628-8801 | 2011-08-25 |
1295015055 | Rockdale Blackhawk LLC | Clinic/Center | 3101 Highway 71 E, Suite 101, Bastrop, TX 78602-5156 | 2011-08-25 |
1427353770 | Rockdale Blackhawk LLC | Clinic/Center | 3101 Highway 71 E, Suite 108, Bastrop, TX 78602-5156 | 2011-01-18 |
Street Address |
3692 E SAM HOUSTON PKWY S |
City | PASADENA |
State | TX |
Zip Code | 77505-3137 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811989577 | John David Beerbower | Specialist | 3692 E Sam Houston Pkwy S, Pasadena, TX 77505-3102 | 2005-08-18 |
1740536598 | Hina Shafqat Hassan | Podiatrist | 3692 E Sam Houston Pkwy S, Suite 100, Pasadena, TX 77505-3136 | 2012-07-31 |
1437423381 | Frontier Radiology LLC | Clinic/Center | 3692 E Sam Houston Pkwy S, Pasadena, TX 77505-3137 | 2012-02-23 |
1235425059 | Fairmont Diagnostic and Mri Center LLC | Clinic/Center | 3692 E Sam Houston Pkwy S, Pasadena, TX 77505-3137 | 2011-06-20 |
1467742999 | Kevin J Owens Inc | Physiological Laboratory | 3692 E Sam Houston Pkwy S, Pasadena, TX 77505-3137 | 2011-04-18 |
1821239583 | Edna I Reyes-guerrero | Podiatrist | 3692 E Sam Houston Pkwy S, Suite 100, Pasadena, TX 77505-3137 | 2009-03-10 |
1851571343 | Maria Elisa Miranda | Physical Therapist | 3692 E Sam Houston Pkwy S, Ste 101, Pasadena, TX 77505-3137 | 2007-11-13 |
1093916298 | Francisco J Cuza | Podiatrist | 3692 E Sam Houston Pkwy S, Suite 100, Pasadena, TX 77505-3137 | 2007-05-29 |
1154467322 | Louis Puig | Preventive Medicine | 3692 E Sam Houston Pkwy S, Ste 100, Pasadena, TX 77505 | 2007-01-29 |
1811085772 | Fairmont Diagnostic Center and Open Mri | Clinic/Center | 3692 E Sam Houston Pkwy S, Pasadena, TX 77505-3137 | 2006-10-10 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316545742 | Travis Jones | Pharmacist | 6767 Spencer Highway, Pasadena, TX 77505 | 2020-10-16 |
1952872905 | Bay Area Internal Medicine Care Pllc | Internal Medicine | Baywood Crossing Rehabilitation and Healthcare Center, 5020 Space Center Blvd., Pasadena, TX 77505 | 2018-12-16 |
1750851325 | Leslie Jackson | Nurse Practitioner | 7106 Spencer Highway, Pasadena, TX 77505 | 2018-11-27 |
1093297459 | Hieu Ngoc Minh Hutt | Occupational Therapy Assistant | 4900 East Sam Houston Pkwy S, Pasadena, TX 77505 | 2018-09-02 |
1780189142 | Basewave Properties, Pllc | Psychiatry & Neurology | 4808 Fairmont Pkwy, #404, Pasadena, TX 77505 | 2018-03-28 |
1720596141 | Lyanne Marlen Fernandez | Specialist/Technologist | 6565 Spencer Hwy Apt 1114, Pasadena, TX 77505 | 2018-01-19 |
1073069811 | Sng - Pasadena Dialysis Center Lp | Clinic/Center | 5040 Crenshaw Rd, Ste 200, Pasadena, TX 77505 | 2016-08-31 |
1235683418 | Sharon Li | Nurse Practitioner | 4001 Preston Rd #100, Pasadena, TX 77505 | 2016-08-05 |
1225493687 | Skkz, Inc. | Clinic/Center | 6415 Fairmont Pkwy, Ste A, Pasadena, TX 77505 | 2015-12-29 |
1982026530 | Aerocare Home Medical, Inc. | Durable Medical Equipment & Medical Supplies | 5041 Spencer Hwy, Suite 603, Pasadena, TX 77505 | 2014-01-16 |
Find all providers in zip 77505 |
Taxonomy Code | 293D00000X |
Grouping | Laboratories |
Classification | Physiological Laboratory |
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. |
Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114936432 | Lls Actual Diagnostics Inc | Physiological Laboratory | 1546 E Washington Blvd, Suite A, Pasadena, CA 91104-2657 | 2006-08-05 |
1467742999 | Kevin J Owens Inc | Physiological Laboratory | 3692 E Sam Houston Pkwy S, Pasadena, TX 77505-3137 | 2011-04-18 |
1093035792 | American Medical Billing Solutions | Physiological Laboratory | 141 S Lake Ave # 104, Pasadena, CA 91101-2673 | 2010-06-03 |
1629221361 | Memorial Hermann Health System | Physiological Laboratory | 3620 Spencer Hwy, Pasadena, TX 77504-1112 | 2008-10-28 |
1215143755 | Optimum Medical Testing | Physiological Laboratory | 521 Harris Ave, Pasadena, TX 77506-4610 | 2007-05-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457952574 | Neurodiagnostics and Imaging LLC | Physiological Laboratory | 2024 W 15th St Ste F-352, Plano, TX 75075-7363 | 2020-11-04 |
1831798875 | Btdi Jv, LLP | Physiological Laboratory | 712 N Washington Ave Ste 102, Dallas, TX 75246-2604 | 2020-10-21 |
1194334144 | Sonji M Blanchard | Physiological Laboratory | 8553 N Beach St Ste 224, Fort Worth, TX 76244-4919 | 2020-07-27 |
1639797863 | Lab Testing Near Me LLC | Physiological Laboratory | 2706 Wind Point Ct, Tolar, TX 76476-5077 | 2020-07-14 |
1871121004 | St. Anthony's Diagnostic Pllc | Physiological Laboratory | 3931 Joe Ramsey Blvd E Ste A, Greenville, TX 75401-7777 | 2020-04-01 |
1033746540 | Enovatemed Solutions, LLC | Physiological Laboratory | 18006 Hillcrest Rd, Dallas, TX 75252-5862 | 2020-03-25 |
1437799913 | Valmar, Plc | Physiological Laboratory | 7905 Bentley Dr, North Richland Hills, TX 76182-7683 | 2020-01-13 |
1205475829 | Intraoperative Neuro Professionals | Physiological Laboratory | 25 Highland Park Vlg # 100-470, Dallas, TX 75205-2789 | 2019-12-30 |
1437797610 | Guard Healthcare Systems LLC | Physiological Laboratory | 2261 Brookhollow Plaza Dr Ste 307, Arlington, TX 76006-7430 | 2019-12-18 |
1932745940 | Magdouhealth LLC | Physiological Laboratory | 205 N Green St, Grand Saline, TX 75140-1829 | 2019-11-25 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on ROCKDALE BLACKHAWK LLC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.