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
1	293D00000X	Physiological Laboratory

General Provider Information

NPI Number	:	1982042321
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BTDI JV LLP

Provider Business Mailing Address
First Line	:	1431 PERRONE WAY
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37069-4243
Country	:	US
Telephone Number	:	615-661-9200
Fax Number	:	615-661-9297

Provider Business Practice Location Address
First Line	:	6850 N SHILOH RD
Second Line	:	STE R
City	:	GARLAND
State	:	TX
Zip	:	75044-2912
Country	:	US
Telephone Number	:	972-495-7756
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	CHRISTIAN C RICE JR.
Credential	:
Telephone Number	:	615-661-9200

Provider Enumeration Date	:	06/07/2013
Last Update Date	:	11/12/2016

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