CERULEAN KOI LLC
NPI 1700624004
Clinic/Center - Health Service in Arlington, TX

Q: What is Cerulean Koi LLC's NPI number?

The NPI number for Cerulean Koi LLC is 1700624004. It was assigned to this organization in the NPPES registry on July 19, 2024.

Q: What is Cerulean Koi LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Q: When was this NPI record last updated?

The NPPES record for Cerulean Koi LLC was last updated on July 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 19, 2024

110 W RANDOL MILL RD STE 243, ARLINGTON, TX 76011(682) 477-3756(469) 833-4712 Get Directions Write a Review

NPPES record last updated: July 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Cerulean Koi Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CERULEAN KOI LLC (NPI 1700624004) is a healthcare organization registered as a health service in Arlington, Texas and active in the NPI registry since July 2024. The organization lists Brenda Bynaum, Owner, as its authorized official.

NPPES Registry Identity

NPI1700624004

Entity TypeOrganization

Primary Taxonomy261QH0100X

Legal Business NameCERULEAN KOI LLC

Location Address110 W RANDOL MILL RD STE 243Arlington, TX 76011-4611

Mailing Address110 W Randol Mill Rd Ste 243Arlington, TX 76011-4611 · (682) 477-3756 · Fax (469) 833-4712

Phone(682) 477-3756

Fax(469) 833-4712

Organization SubpartNo

Authorized OfficialBrenda BynaumOwner · (682) 477-3756

Enumeration DateJuly 19, 2024

NPPES CertifiedJuly 19, 2024

✔ NPI 1700624004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities

Taxonomy Code261QH0100X

110 W RANDOL MILL RD STE 243, Arlington, TX 76011

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DOT DOC ON CALL LLC

Clinic/Center (Health Service)

110 W RANDOL MILL RD STE 243
ARLINGTON, TX 76011

Tarrant County (682) 316-1848

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cerulean Koi LLC's NPI number?

The NPI number for Cerulean Koi LLC is 1700624004. It was assigned to this organization in the NPPES registry on July 19, 2024.

Where is Cerulean Koi LLC located?

Cerulean Koi LLC is located at 110 W Randol Mill Rd Ste 243, Arlington, TX 76011. The listed phone number is (682) 477-3756.

What is Cerulean Koi LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Cerulean Koi LLC was last updated on July 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.