DENTON VASCULAR LAB INC (NPI# 1396768016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396768016 |
| Entity Type | Organization |
| Organization Name | DENTON VASCULAR LAB INC |
| Other Organization Name | DENTON REGIONAL VASCULAR LAB |
| Practice Address |
3322 Colorado Blvd Suite 102 Denton TX 76210-6864 |
| Practice Telephone | 9405666666 |
| Practice Fax Number | 9403873692 |
| Mailing Telephone | 9405666666 |
| Mailing Fax Number | 9403873692 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2019-05-13 |
| Authorized Official Name | MR. DAVID R. MORALES (PRESIDENT/OWNER) |
| Authorized Official Telephone | 9405666666 |
| Authorized Official Credential | RVT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities | ||
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 088072602 | 05 | |
| TX | BLUE CROSS OF TEXAS | 0022DC | 01 |
| Other Name | Type Code |
|---|---|
| Denton Regional Vascular Lab | Former Legal Business Name - Organization |
| Street Address |
3322 COLORADO BLVD SUITE 102 |
| City | DENTON |
| State | TX |
| Zip Code | 76210-6864 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700809480 | Carlos P Cruz | Surgery | 3322 Colorado Blvd, Suite 101, Denton, TX 76210-6864 | 2006-07-25 |
| 1134522691 | Surgery Associates of Ntx, Pllc | Surgery | 3322 Colorado Blvd, Suite 101, Denton, TX 76210-6888 | 2014-09-29 |
| 1083818652 | Stephen Paul Lester | Surgery | 3322 Colorado Blvd, Suite 101, Denton, TX 76210-6864 | 2007-06-14 |
| 1710192224 | Sally A Connaughton | Specialist/Technologist, Other | 3322 Colorado Blvd, Suite 101, Denton, TX 76210-6864 | 2007-05-10 |
| 1255355715 | Surgery Associates of North Texas P A | Surgery | 3322 Colorado Blvd, Suite 101, Denton, TX 76210-6864 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609403716 | Corinth Community Pharmacy, LLC. | Pharmacy | 3001 F.m. 2181, Suite 450, Corinth, TX 76210 | 2020-03-26 |
| 1003467200 | Stephanie R Rynor I | Nurse Practitioner | 3001 Fm 2181 Ste 300, Corinth, TX 76210 | 2019-09-28 |
| 1417435389 | Ikids Pediatric Dentistry Denton, Pllc | Dentist | 1212 Bent Oaks Ct Ste 100, Denton, TX 76210 | 2018-08-02 |
| 1083100101 | Ahir Dental Pllc | Dentist | 3220 Teasley Ln, Suite#100, Dention, TX 76210 | 2018-07-02 |
| 1235636010 | Diane Michelle Dean | Counselor | 2701 Shoreline Drive, Denton, TX 76210 | 2018-04-09 |
| 1740709344 | Southridge Dental, LLC | Dentist | 3303 Unicorn Lake Blvd, Ste 200, Denton, TX 76210 | 2017-09-14 |
| 1356876601 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1101 Fm 2181, Corinth, TX 76210 | 2017-04-25 |
| 1366990137 | Phee Dental Group | Dentist | 4920 Teasley Ln, Denton, TX 76210 | 2016-09-21 |
| 1265893283 | Ann Marie Norris | Respiratory Therapist, Registered | 3535 E I-35, Denton, TX 76210 | 2016-03-18 |
| 1447644778 | Santa Patricia Espinoza | Nurse Practitioner | 3537 South Interstate 35e, Ste. 210, Denton, TX 76210 | 2015-03-25 |
| Find all providers in zip 76210 | ||||
| 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 |
|---|---|---|---|---|
| 1417414822 | Health Imaging Partners LLC | Physiological Laboratory | 2214 Emery St Ste 600, Denton, TX 76201-2480 | 2019-02-22 |
| 1164860516 | Btdi Jv LLP | Physiological Laboratory | 1435 S Loop 288, Ste 101, Denton, TX 76205-4701 | 2013-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952574 | Neurodiagnostics and Imaging LLC | Physiological Laboratory | 2024 W 15th St Ste F-352, Plano, TX 75075-7363 | 2020-11-04 |
| 1831798875 | Btdi Jv, LLP | Physiological Laboratory | 712 N Washington Ave Ste 102, Dallas, TX 75246-2604 | 2020-10-21 |
| 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 |
| Find all providers with the same taxonomy | ||||
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| 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.