Blackhawk Iom, Llc

LBN: Blackhawk Iom, Llc
Blackhawk Iom, Llc is an health care organization with primary practice located at 9969 South 27Th St Ste 110, Franklin WI 53132. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Electrodiagnostic Medicine, Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Clinical Neurophysiology, Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic. Allopathic & Osteopathic Physicians / Clinical Neurophysiology is the primary health care specialty. Blackhawk Iom, Llc can be contacted via phone (210) 598-4277, or through Laroque, Roxanna via phone (210) 598-2801.

Contact Information

Primary practice address
9969 South 27Th St Ste 110 Franklin WI 53132
Phone: (210) 598-4277
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Laroque, Roxanna
Phone: (210) 598-2801

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Electrodiagnostic Medicine 204R00000X
Allopathic & Osteopathic Physicians / Neurology 2084N0400X
Allopathic & Osteopathic Physicians / Clinical Neurophysiology 2084N0600X
Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic 246ZE0600X

Profile Details

NPI number 1922515477
LBN Legal business name Blackhawk Iom, Llc
DBA Doing business as
Authorized official Laroque, Roxanna
Entity Organization
Organization subpart 1 No
Enumeration date Jan 5th, 2018
Last updated Jul 15th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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