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Manasseh Medical Imaging, Inc
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Lubbock, Texas
NPI 1184806143

Manasseh Medical Imaging, Inc is a Portable X-ray and/or Other Portable Diagnostic Imaging Supplier based in Lubbock, TX. Manasseh Medical Imaging, Inc practices in Lubbock, TX. The NPI Number for Manasseh Medical Imaging, Inc is 1184806143 and holds a License No. FTUVC9 (Texas).

The current practice location address for Manasseh Medical Imaging, Inc is 4311 Ironton Ave, Lubbock, TX and can be reached out via phone at 806-239-0509. You can also correspond with Manasseh Medical Imaging, Inc through the mailing address at PO BOX 16856, LUBBOCK, TX - 79490-6856 (mailing address contact number: 806-771-1386).

Location: 4311 Ironton Ave, Lubbock, TX, 79490-6856
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1184806143
Provider Name
Manasseh Medical Imaging, Inc
Credential
Provider Entity Type
Organization
Address
4311 Ironton Ave, Lubbock, TX, 79490-6856
Phone Number
806-239-0509
Fax Number
Provider Enumeration Date
12/03/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4311 Ironton Ave
City
Lubbock
State
Texas
Zip
79407-3735
Phone Number
806-239-0509
Fax Number
person
Provider Business Mailing Address Details
Address
Po Box 16856
City
Lubbock
State
Texas
Zip
79490-6856
Phone Number
806-771-1386
Fax Number
person
Provider's Taxonomy Details 1
Type
Laboratories
Classification
Physiological Laboratory
Speciality
-
Taxonomy
293D00000X
License No.
()
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.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Speciality
-
Taxonomy
335V00000X
License No.
FTUVC9 (Texas)
Definition
A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed.
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