Southwest Medical Imaging Pa

LBN: Southwest Medical Imaging Pa
Southwest Medical Imaging Pa is an health care organization with primary practice located at 2200 W Illinois Ave , Midland TX 79701-6407. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Southwest Medical Imaging Pa can be contacted via phone (432) 570-1421, or through Hernandez, Laura via phone (432) 570-1421.

Contact Information

Primary practice address
2200 W Illinois Ave Midland TX 79701-6407
Fax: (432) 570-1427
Website:
Authorized official contact:
Name: Hernandez, Laura Registered Nurse (RN)

Health care specialties

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

Profile Details

NPI number 1538134788
LBN Legal business name Southwest Medical Imaging Pa
DBA Doing business as
Authorized official Hernandez, Laura Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2006
Last updated Jan 27th, 2014 - about 11 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 1538134788 NPPES
Texas Other A001 SWMI TRICARE GRP PROV #
Texas Other 00T02K SWMI TRICARE GRP PROV #
Texas MEDICAID 112619501 SWMI TRICARE GRP PROV #

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