BLUE STAR IMAGING SA LLC NPI 1871101899

NPI Information

NPI: 1871101899
Provider Name: BLUE STAR IMAGING SA, LLC
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

CLIA Number: 45D2144861

Address:
112 HERFF RD
BOERNE, TX
ZIP 78006
Phone: (210) 961-4282
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BLUE STAR IMAGING SA, LLC is a radiology clinic center in Boerne, TX. BLUE STAR IMAGING SA, LLC NPI is 1871101899. The provider is registered as an organization entity type.

The provider's business location address is:

112 HERFF RD
BOERNE, TX
ZIP 78006-747
Phone: (210) 961-4282
Fax: (210) 961-4283

The provider's authorized official is Melissa Beebe .
The authorized official title is Executive Assistant To Coo and has the following contact phone number (972) 497-4156.

The CLIA number assigned to this NPI record is 45D2144861 - other - outpatient imaging center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/15/2020 and was last updated on 7/15/2020.

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
1	261QR0200X	Clinic/Center	Radiology			Yes

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

NPI Synchronization or Removal

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