Covenant Diagnostic Imaging

LBN: Methodist Diagnostic Imaging
Covenant Diagnostic Imaging is an health care organization with primary practice located at 3525 19Th St , Lubbock TX 79410-1202. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Ambulatory Health Care Facilities / Radiology, Laboratories / Physiological Laboratory. Ambulatory Health Care Facilities / Radiology is the primary health care specialty. Methodist Diagnostic Imaging can be contacted via phone (806) 792-2767, or through Anderson, Donald W via phone (425) 525-5392.

Contact Information

Primary practice address
3525 19Th St Lubbock TX 79410-1202
Fax: (806) 791-6709
Website:
Authorized official contact:
Name: Anderson, Donald W

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X N/A Texas
Ambulatory Health Care Facilities / Radiology 261QR0200X N/A Texas
Laboratories / Physiological Laboratory 293D00000X N/A Texas

Profile Details

NPI number 1013914613
LBN Legal business name Methodist Diagnostic Imaging
DBA Doing business as Covenant Diagnostic Imaging
Authorized official Anderson, Donald W
Entity Organization
Organization subpart 1 No
Enumeration date Jun 29th, 2005
Last updated Aug 31st, 2023 - about 2 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 1013914613 NPPES
Texas Other OOF91Y BLUE CROSS
Texas Other 121741603 BLUE CROSS
Texas MEDICAID 121741601 BLUE CROSS
Texas MEDICAID G7966 BLUE CROSS
Texas Other 103173100 BLUE CROSS
Texas Other DN6474 BLUE CROSS

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