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LUBBOCK ADVANCED DIGITAL IMAGING INC. NPI 1396753463


NPI Information

NPI: 1396753463
Provider Name: LUBBOCK ADVANCED DIGITAL IMAGING, INC.

Doing Business As: ADVANCED DIGITAL IMAGING

Classification: Portable X-ray and/or Other Portable Diagnostic Imaging Supplier - 335V00000X
Entity Type: Organization

CLIA Number: 45D2187774

Address:
3419 22ND ST
SUITE B
LUBBOCK, TX
ZIP 79410
Phone: (806) 793-5421
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LUBBOCK ADVANCED DIGITAL 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. LUBBOCK ADVANCED DIGITAL IMAGING, INC. NPI is 1396753463. The provider is registered as an organization entity type.
The provider Is Doing Business As Advanced Digital Imaging.

The provider's business location address is:

3419 22ND ST
SUITE B
LUBBOCK, TX
ZIP 79410-334
Phone: (806) 793-5421
Fax: (806) 793-0759

The provider's authorized official is Terry D Henrie .
The authorized official title is Officer and has the following contact phone number (806) 793-5421.

The CLIA number assigned to this NPI record is 45D2187774 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/4/2006 and was last updated on 8/28/2008.


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
1335V00000XPortable X-ray and/or Other Portable Diagnostic Imaging SupplierTEXASYes

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
1459905MEDICARE 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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.