ROADRUNNER ULTRASOUND EQUIPMENT, LLC


Address: 704 Hwy 71 W. Ste C300, Bastrop, TX 78602
Phone: 8669729786

ROADRUNNER ULTRASOUND EQUIPMENT, LLC (NPI# 1598286148) 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) 1598286148
Entity Type Organization
Organization Name ROADRUNNER ULTRASOUND EQUIPMENT, LLC
Practice Address 704 Hwy 71 W. Ste C300
Bastrop
TX 78602
Mailing Address 704 Hwy 71 W.
Ste C300
Bastrop
TX 78602
Practice Telephone 8669729786
Enumeration Date 2017-07-05
Last Update Date 2017-07-05
Authorized Official Name JONI JACK (DIRECTOR OF OPERATIONS)
Authorized Official Telephone 8669729786
Authorized Official Credential ARRT (RT)
Is Organization Subpart Y
Parent Organization Name ROADRUNNER RADIOLOGY EQUIPMENT, LLC

Taxonomy

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

Office Location

Street Address 704 HWY 71 W. STE C300
City BASTROP
State TX
Zip Code 78602

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1619426301 Josie Cedillo Social Worker 1011 Alley A, Bastrop, TX 78602 2016-09-23
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1457749558 Rudy Torres Jr. Occupational Therapy Assistant 140 Nanakuli Drive, Bastrop, TX 78602 2014-12-26
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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.

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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
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Competitor

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City BASTROP
Zip Code 78602

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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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