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LUBBOCK RADIOLOGY LP NPI 1245236132


NPI Information

NPI: 1245236132
Provider Name: LUBBOCK RADIOLOGY LP
Classification: Physiological Laboratory - 293D00000X
Entity Type: Organization
Address:
3707 21ST ST
LUBBOCK, TX
ZIP 79410
Phone: (806) 792-2767
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LUBBOCK RADIOLOGY LP is a physiological laboratory in Lubbock, TX. The provider is a laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. LUBBOCK RADIOLOGY LP NPI is 1245236132. The provider is registered as an organization entity type.

The provider's business location address is:

3707 21ST ST
LUBBOCK, TX
ZIP 79410-219
Phone: (806) 792-2767
Fax: (806) 791-6709

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

The enumeration date for this NPI number is 6/24/2005 and was last updated on 11/3/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0200XClinic/CenterRadiologyTEXASNo
2293D00000XPhysiological LaboratoryNo
3293D00000XPhysiological LaboratoryTEXASYes

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
1470001572OTHERRR MEDICARE
2104497100OTHERTEXASFIRSTCARE
3153651801MEDICAIDTEXAS
41895212OTHERFIRST HEALTH
5W6027MEDICAIDNEW MEXICO
6J730OTHERTEXASBLUE CROSS

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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