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Contact Information

CCRM DFW, LLC
8380 WARREN PKWY STE 201
FRISCO, TX75034
 Phone: 972-377-2625
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulatory Surgical

261QA1903X 49 Ambulatory Surgical Center
 

Clinical Medical Laboratory

291U00000X 69 Clinical Laboratory
Indicates primary specialty

NPI Profile & details for CCRM DFW, LLC

NPI # 1437636636
LBN Legal business name CCRM DFW, LLC
Authorized official JON PARDEW - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 07/20/2018
Last updated 07/25/2018 - About 8 years ago
Identifiers
Other 130394 ASC LICENSE
Other 45D1095599 CLIA
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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