GRACE CLINIC IMAGING DEPARTMENT NPI 1558523357

NPI Information

GRACE CLINIC IMAGING DEPARTMENT 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. GRACE CLINIC IMAGING DEPARTMENT NPI is 1558523357. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4515 MARSHA SHARP FWY
LUBBOCK, TX
ZIP 79407-520
Phone: (806) 744-7223
Fax: (806) 740-3325

The provider's authorized official is Dana Rains .
The authorized official title is Chief Operating Officer and has the following contact phone number (806) 740-3342.

The CLIA number assigned to this NPI record is 45D2106771 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/2/2008 and was last updated on 7/2/2008.

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:

Other Identifiers

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