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MANASSEH MEDICAL IMAGING INC NPI 1184806143


NPI Information

NPI: 1184806143
Provider Name: MANASSEH MEDICAL IMAGING, INC
Classification: Portable X-ray and/or Other Portable Diagnostic Imaging Supplier - 335V00000X
Entity Type: Organization
Address:
4311 IRONTON AVE
#2
LUBBOCK, TX
ZIP 79407
Phone: (806) 239-0509
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MANASSEH MEDICAL IMAGING, INC is a portable x ray and or other portable diagnostic imaging supplier in Lubbock, TX. The provider is a supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. MANASSEH MEDICAL IMAGING, INC NPI is 1184806143. The provider is registered as an organization entity type.

The provider's business location address is:

4311 IRONTON AVE
#2
LUBBOCK, TX
ZIP 79407-735
Phone: (806) 239-0509

The provider's authorized official is Larry Rosales .
The authorized official title is President and has the following contact phone number (806) 239-0509.

The enumeration date for this NPI number is 12/3/2007 and was last updated on 4/3/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1293D00000XPhysiological LaboratoryFTUVC9TEXASNo
2335V00000XPortable X-ray and/or Other Portable Diagnostic Imaging SupplierYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1FTUVC9MEDICARE PINTEXAS
2459910MEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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