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NPI Code Detail

MEDICARE: BTDI JV LLP

MEDICARE: BTDI JV LLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1293D00000XPhysiological Laboratory

General Provider Information

NPI Number : 1326518341
Entity Type Code : Organization
Provider Name (Legal Business Name) : BTDI JV LLP
Provider Business Mailing Address
First Line : PO BOX 746003
Second Line :
City : ATLANTA
State : GA
Zip : 30374-6003
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4501 MATLOCK RD STE 101
Second Line :
City : ARLINGTON
State : TX
Zip : 76018-1004
Country : US
Telephone Number : 817-472-0801
Fax Number :
Authorized Official
Title or Position : DIRECTOR OF CREDENTIALING
Name : KATE ROELLE
Credential :
Telephone Number : 614-689-1691
Provider Enumeration Date : 12/03/2018
Last Update Date : 11/03/2023

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Directions to “BTDI JV LLP ” Practice Location

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