Blue Stone Frisco Jv, LLP
NPI 1700394392ActiveOrganization· Physiological Laboratory· Frisco, TX
Physiological Laboratory in Frisco, Texas, registered in NPPES in January 2018. The authorized official on file is Katrina Roelle, Director Of Credentialing. Medicare paid $203,412 for services to 1,339 patients in 2024.
Overview
| NPI | 1700394392 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 17, 2018 |
| Last updated in NPPES | Oct 5, 2026 |
| Certified by provider | Oct 5, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physiological Laboratory Primary | 293D00000X | — | — |
| Clinic/Center, Radiology | 261QR0200X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Independent Diagnostic Testing Facility (Idtf) (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 1,339 |
|---|---|
| Services billed | 27,649 across 122 procedure codes |
| Paid by Medicare | $203,412 |
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