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LUBBOCK INTERVENTIONAL NEPHROLOGY ASSOCIATES NPI 1669909404


NPI Information

NPI: 1669909404
Provider Name: LUBBOCK INTERVENTIONAL NEPHROLOGY ASSOCIATES

Doing Business As: LUBBOCK VASCULAR ACCESS

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 45D1103872

Address:
1126 SLIDE RD
SUITE # 1
LUBBOCK, TX
ZIP 79416
Phone: (806) 792-2222
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LUBBOCK INTERVENTIONAL NEPHROLOGY ASSOCIATES is an ambulatory surgical clinic center in Lubbock, TX. LUBBOCK INTERVENTIONAL NEPHROLOGY ASSOCIATES NPI is 1669909404. The provider is registered as an organization entity type.
The provider Is Doing Business As Lubbock Vascular Access.

The provider's business location address is:

1126 SLIDE RD
SUITE # 1
LUBBOCK, TX
ZIP 79416-462
Phone: (806) 792-2222

The provider's authorized official is Jennifer Lee Coleman .
The authorized official title is Facility Administration and has the following contact phone number (806) 793-8447.

The CLIA number assigned to this NPI record is 45D1103872 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/11/2017 and was last updated on 4/17/2019.


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
1261QA1903XClinic/CenterAmbulatory Surgical14579TEXASYes

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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