Lubbock Diagnostic Radiology, L.L.P.

LBN: Lubbock Diagnostic Radiology, L.L.P.
Lubbock Diagnostic Radiology, L.L.P. is an health care organization with primary practice located at 4005 24Th St , Lubbock TX 79410-1835. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is the primary health care specialty. Lubbock Diagnostic Radiology, L.L.P. can be contacted via phone (806) 792-2767, or through Medanich, Monty via phone (806) 792-2767.

Contact Information

Primary practice address
4005 24Th St Lubbock TX 79410-1835
Phone: (806) 792-2767
Fax: (888) 861-8858
Website:
Map and Directions
Authorized official contact:
Name: Medanich, Monty
Phone: (806) 792-2767

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X

Profile Details

NPI number 1215028501
LBN Legal business name Lubbock Diagnostic Radiology, L.L.P.
DBA Doing business as
Authorized official Medanich, Monty
Entity Organization
Organization subpart 1 No
Enumeration date Sep 28th, 2006
Last updated Nov 4th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215028501 NPPES
Other CG7043 RAILROAD MEDICARE
Other 62866 RAILROAD MEDICARE
Other 0094EE RAILROAD MEDICARE
MEDICAID 095055202 RAILROAD MEDICARE

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