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Export Provider Record NPI 1407454879
Btdi Jv, Llp
Organization Subpart: NO
Active
NPI Number1407454879
NPI TypeNPI-2 Organization
SpecialtyPhysiological Laboratory
Provider Details
NPI1407454879
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2020-10-16
Last Updated2024-02-02
Authorized OfficialKatrina Roelle
Director of Credentialing
Phone: 6146891691
Mailing AddressPo Box 746003
Atlanta, GA 30374-6003
United States
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Primary Practice Address2019 Old Troup Hwy
Tyler, TX 75701
United States
Phone: (903) 526-6736
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Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes293D00000X – Physiological Laboratory--
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About NPI 1407454879

Btdi Jv, Llp is an organization registered in the CMS NPPES NPI Registry with NPI number 1407454879. The primary specialty listed is Physiological Laboratory. The organization is located in Tyler, TX. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2020-10-16. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1407454879?

NPI 1407454879 belongs to Btdi Jv, Llp, a Physiological Laboratory in Tyler, TX. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1407454879 active?

The current status of NPI 1407454879 in the NPPES registry is Active. The record was last updated on 2024-02-02.

What specialty is NPI 1407454879?

NPI 1407454879 is classified under the taxonomy Physiological Laboratory. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1407454879?

You can verify NPI 1407454879 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1407454879?

The primary practice address on file for NPI 1407454879 is 2019 Old Troup Hwy, Tyler, TX 75701. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1407454879 issued?

NPI 1407454879 was first issued (enumerated) on 2020-10-16. The NPPES record was last updated on 2024-02-02.

Practice Location Map

Btdi Jv, Llp is located at 2019 Old Troup Hwy, Tyler, TX. Use the map below to find directions or verify the practice location.

📍 2019 Old Troup Hwy, Tyler, TX 75701  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Btdi Jv, Llp. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-08-26 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162