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Methodist Diagnostic Imaging
Physiological Laboratory in Lubbock, Texas
NPI 1013914613

Methodist Diagnostic Imaging is a Physiological Laboratory based in Lubbock, TX. Methodist Diagnostic Imaging practices in Lubbock, TX. The NPI Number for Methodist Diagnostic Imaging is 1013914613 and holds a License No. N/A (Texas).

The current practice location address for Methodist Diagnostic Imaging is 3525 19Th St, Lubbock, TX and can be reached out via phone at 806-792-2767 and via fax at 806-791-6709. You can also correspond with Methodist Diagnostic Imaging through the mailing address at PO BOX 2190, LUBBOCK, TX - 79408-2190 (mailing address contact number: 806-792-2767).

Location: 3525 19Th St, Lubbock, TX, 79408-2190
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1013914613
Provider Name
Methodist Diagnostic Imaging
Credential
Provider Entity Type
Organization
Address
3525 19Th St, Lubbock, TX, 79408-2190
Phone Number
806-792-2767
Fax Number
806-791-6709
Provider Enumeration Date
06/29/2005
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
OOF91Y 01 TX BLUE CROSS
121741603 01 TX CROSSOVERMEDICAID
121741601 05 TX
G7966 05 NM
103173100 01 TX FIRSTCARE
DN6474 01 RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
3525 19Th St
City
Lubbock
State
Texas
Zip
79410-1202
Phone Number
806-792-2767
Fax Number
806-791-6709
person
Provider Business Mailing Address Details
Address
Po Box 2190
City
Lubbock
State
Texas
Zip
79408-2190
Phone Number
806-792-2767
Fax Number
806-791-6709
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Body Imaging
Taxonomy
2085B0100X
License No.
N/A (Texas)
Definition
A Radiology doctor of Osteopathy that specializes in Body Imaging.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Radiology
Taxonomy
261QR0200X
License No.
N/A (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Laboratories
Classification
Physiological Laboratory
Speciality
-
Taxonomy
293D00000X
License No.
N/A (Texas)
Definition
A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.
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