BLUE STAR IMAGING SA, LLC


Address: 112 Herff Rd, Boerne, TX 78006-2747
Phone: 2109614282

BLUE STAR IMAGING SA, LLC (NPI# 1871101899) 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) 1871101899
Entity Type Organization
Organization Name BLUE STAR IMAGING SA, LLC
Practice Address 112 Herff Rd
Boerne
TX 78006-2747
Mailing Address 1 Cowboys Way Ste 150
Frisco
TX 75034-1995
Practice Telephone 2109614282
Practice Fax Number 2109614283
Mailing Telephone 9724974156
Enumeration Date 2020-07-15
Last Update Date 2020-07-15
Authorized Official Name MELISSA BEEBE (EXECUTIVE ASSISTANT TO COO)
Authorized Official Telephone 9724974156
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0200X Clinic/Center
Specialization: Radiology
Ambulatory Health Care Facilities

Office Location

Street Address 112 HERFF RD
City BOERNE
State TX
Zip Code 78006-2747

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Taxonomy Information

Taxonomy Code 261QR0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Radiology

Taxonomy Definition

Definition to come...

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Competitor

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City BOERNE
Zip Code 78006

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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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