NPI 1154769503

Btdi Jv LLP

Organisation Physiological Laboratory Fort Worth, TX

Practice location

Address: 5455 Basswood Blvd STE 550, Fort Worth, TX 76137-4478
Phone: (817) 428-5002
Mailing address: PO Box 746003, Atlanta, GA 30374-6003

Authorised official

Name: Kate Roelle
Title: Director of Credentialing
Phone: (614) 689-1691

Registered specialties

Physiological Laboratory Primary

Laboratories Taxonomy 293D00000X

Other Physiological Laboratory providers in Texas →

Registry record

NPI: 1154769503
Entity type: Organization
NPI issued: 7 Jun 2013
Record last updated: 6 Nov 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.