LUBBOCK DIAGNOSTIC RADIOLOGY L.L.P. NPI 1215028501

NPI Information

NPI: 1215028501
Provider Name: LUBBOCK DIAGNOSTIC RADIOLOGY, L.L.P.
Classification: Radiology - 2085R0202X
Specialization: Diagnostic Radiology
Entity Type: Organization
Address: 4005 24TH ST
LUBBOCK, TX
ZIP 79410
Phone: (806) 792-2767

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NPI Details

LUBBOCK DIAGNOSTIC RADIOLOGY, L.L.P. is a diagnostic radiology radiology in Lubbock, TX. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. LUBBOCK DIAGNOSTIC RADIOLOGY, L.L.P. NPI is 1215028501. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4005 24TH ST
LUBBOCK, TX
ZIP 79410-835
Phone: (806) 792-2767
Fax: (888) 861-8858

The provider's authorized official is Monty Medanich .
The authorized official title is C.o.o. and has the following contact phone number (806) 792-2767.

The enumeration date for this NPI number is 9/28/2006 and was last updated on 11/4/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0204X	Radiology	Vascular & Interventional Radiology			No
2	2085R0202X	Radiology	Diagnostic Radiology			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0094EE	OTHER	TEXAS	BLUE CROSS
2	CG7043	OTHER		RAILROAD MEDICARE
3	095055202	MEDICAID	TEXAS
4	62866	OTHER		NEW MEXICO MEDICAID

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: 11/21/2025

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