ROCKDALE BLACKHAWK LLC


Address: 3692 E Sam Houston Pkwy S, Pasadena, TX 77505-3137
Phone: 5124504502

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 293D00000X Physiological Laboratory Laboratories

Other Provider/Organization Names

Other Name Type Code
Richards Memorial Imaging Fairmont Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 3692 E SAM HOUSTON PKWY S
City PASADENA
State TX
Zip Code 77505-3137

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 293D00000X
Grouping Laboratories
Classification Physiological Laboratory

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

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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
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Competitor

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City PASADENA
Zip Code 77505

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Dataset Information

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.

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