Ccrm Dallas Fort Worth

LBN: Ccrm Dfw, Llc
Ccrm Dallas Fort Worth is an health care organization with primary practice located at 8380 Warren Pkwy Ste 201 , Frisco TX 75034. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Ambulatory Surgical, Laboratories / Clinical Medical Laboratory. Ambulatory Health Care Facilities / Ambulatory Surgical is the primary health care specialty. Ccrm Dfw, Llc can be contacted via phone (972) 377-2625, or through Pardew, Jon via phone (303) 968-1950.

Contact Information

Primary practice address
8380 Warren Pkwy Ste 201 Frisco TX 75034
Phone: (972) 377-2625
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pardew, Jon
Phone: (303) 968-1950

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X
Laboratories / Clinical Medical Laboratory 291U00000X

Profile Details

NPI number 1437636636
LBN Legal business name Ccrm Dfw, Llc
DBA Doing business as Ccrm Dallas Fort Worth
Authorized official Pardew, Jon
Entity Organization
Organization subpart 1 No
Enumeration date Jul 20th, 2018
Last updated Jul 25th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1437636636 NPPES
Other 45D1095599 CLIA
Other 130394 CLIA

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