STAR DIAGNOSTICS OF TARRANT COUNTY (NPI# 1679525695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679525695 |
| Entity Type | Organization |
| Organization Name | STAR DIAGNOSTICS OF TARRANT COUNTY |
| Practice Address |
2100 N Main St Ll20 Fort Worth TX 76106-8570 |
| Mailing Address |
Po Box 226656 Dallas TX 75222-6656 |
| Practice Telephone | 2149439431 |
| Practice Fax Number | 2149439407 |
| Mailing Telephone | 2149439431 |
| Mailing Fax Number | 2149439407 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2008-01-23 |
| Authorized Official Name | LINDA L RILEY (ADMINSTRATOR) |
| Authorized Official Telephone | 2149439431 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 8V5961 | 01 |
| Street Address |
2100 N MAIN ST LL20 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76106-8570 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396075594 | Daniella G Hall | Physician Assistant | 2100 N Main St, Fort Worth, TX 76164-8570 | 2010-01-11 |
| 1265526636 | Rafael Roberto Garcia | Pediatrics | 2100 N Main St, Suite 107, Fort Worth, TX 76164-8570 | 2006-10-03 |
| 1679581771 | Dana Zipora Shafir | Counselor | 2100 N Main St, Ste 226, Fort Worth, TX 76106-8570 | 2006-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215380985 | Irene Robyn Winnett | Counselor | 2907 Loving Ave, Fort Worth, TX 76106 | 2016-07-19 |
| 1568875706 | Valerie Freeman Biegon | Contractor | A La Mod Salon/ Vfb-lmt, 3900 Merrett Drive Suite B, Lake Worth, TX 76106 | 2014-06-05 |
| 1659555738 | Northside Adult Daycare Center, Inc. | Clinic/Center | 1401 Clinton Ave, Fort Worth, TX 76106 | 2007-12-24 |
| 1285755504 | Nortside Medical Clinic, P.a. | Family Medicine | 1600 25th Street, Suite B, Fort Worth, TX 76106 | 2007-04-03 |
| 1477607240 | H Pena Md North Main Medical and Surgical Clinic Assoc | General Practice | 3301 North Main Street, Fort Worth, TX 76106 | 2007-01-22 |
| 1093800153 | Jinat Corporation | Dentist | 1612 Nw 28th St, Fort Worth, TX 76106 | 2006-10-04 |
| 1568751006 | Elizabeth Rivera | Family Medicine | 3308 Deen Rd, Fort Worth, TX 76106 | 2011-04-05 |
| 1104156173 | Katherine Courtney Thompson | Speech-Language Pathologist | 3600 Angle Ave, Fort Worth, TX 76106 | 2010-01-13 |
| 1417066507 | Priyanka Kandhari | Dentist | 3308 Deen Rd, Fort Worth, TX 76106 | 2006-08-30 |
| 1417518648 | Kristina Lahti | Occupational Therapist | 4775 North Fwy, Fort Worth, TX 76106-2315 | 2019-06-27 |
| Find all providers in zip 76106 | ||||
| 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 |
|---|---|---|---|---|
| 1194334144 | Sonji M Blanchard | Physiological Laboratory | 8553 N Beach St Ste 224, Fort Worth, TX 76244-4919 | 2020-07-27 |
| 1649753716 | Health Imaging Partners LLC | Physiological Laboratory | 5701 Bryant Irvin Rd Ste 101, Fort Worth, TX 76132-4052 | 2018-09-13 |
| 1104109552 | Health Imaging Partners, LLC | Physiological Laboratory | 2911 Oak Park Circle, Fort Worth, TX 76109 | 2011-09-22 |
| 1144411570 | Fort Worth I Enterprises, LLC Dba Healthy Images of Texas | Physiological Laboratory | 4150 International Plz Ste 600, Fort Worth, TX 76109-4831 | 2007-08-09 |
| 1518023274 | Kenneth Wayne Morris | Physiological Laboratory | 4707 Alwood Ct, Fort Worth, TX 76135-1901 | 2006-12-28 |
| 1154379741 | Diagnostic Health Centers of Texas Limited Partnership | Physiological Laboratory | 6001 Harris Pkwy, Fort Worth, TX 76132-4103 | 2006-05-05 |
| 1932166105 | Maxum Health Services Corp | Physiological Laboratory | 1199 8th Ave, Fort Worth, TX 76104-4102 | 2006-04-28 |
| 1366977449 | Usmd Diagnostic Services, LLC | Physiological Laboratory | 5450 Clearfork Main St, Suite 110, Fort Worth, TX 76109-3559 | 2017-04-26 |
| 1083006233 | Btdi Jv, LLP | Physiological Laboratory | 1263 W Rosedale St, Suite 105, Fort Worth, TX 76104-2801 | 2015-02-25 |
| 1104218775 | Btdi Jv, LLP | Physiological Laboratory | 1199 8th Ave, Fort Worth, TX 76104-4102 | 2015-02-19 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76106 |
Please comment or provide details below to improve the information on STAR DIAGNOSTICS OF TARRANT COUNTY.
| 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.