MRI CENTRAL LUBBOCK LLC


Address: 4511 University Ave, Lubbock, TX 79413-3615
Phone: 8062810111

MRI CENTRAL LUBBOCK LLC (NPI# 1790781714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790781714
Entity Type Organization
Organization Name MRI CENTRAL LUBBOCK LLC
Other Organization Name MRI CENTRAL LUBBOCK
Practice Address 4511 University Ave
Lubbock
TX 79413-3615
Mailing Address 12225 Greenville Ave Ste 700
Dallas
TX 75243-9338
Practice Telephone 8062810111
Practice Fax Number 8067880555
Mailing Telephone 8773618018
Mailing Fax Number 8885426858
Enumeration Date 2005-06-23
Last Update Date 2009-03-04
Authorized Official Name MR. GARTH F JAMES (PRESIDENT)
Authorized Official Telephone 2143689966
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1200X Clinic/Center
Specialization: Magnetic Resonance Imaging (MRI)
TX Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
TX CIGNA 8685442 01
TX FIRST HEALTH CCN 2242044 01
TX OWCP 362537100 01
TX BCBS TX 0224DC 01
TX 152053801 05
TX AETNA 7675373 01
TX UHC 2202558 01

Other Provider/Organization Names

Other Name Type Code
MRI CENTRAL LUBBOCK Doing Business As Name - Organization

Office Location

Street Address 4511 UNIVERSITY AVE
City LUBBOCK
State TX
Zip Code 79413-3615

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Taxonomy Information

Taxonomy Code 261QM1200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Magnetic Resonance Imaging (MRI)

Taxonomy Definition

Definition to come...

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1568695625 Lubbock Open Air Mri Inc Clinic/Center 3720 20th St, Lubbock, TX 79410 2009-08-24
1376781260 A1 Imaging Centers LLC Clinic/Center 3501 22nd St, Lubbock, TX 79410-1338 2009-01-30
1083872394 A1 Imaging of Lubbock LLC Clinic/Center 3501 22nd St, Lubbock, TX 79410-1338 2008-05-23
1871710202 Covenant Health System Clinic/Center 3615 19th St, Lubbock, TX 79410-1203 2007-04-19
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Competitor

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City LUBBOCK
Zip Code 79413

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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