Grace Clinic Imaging Department in Lubbock - Diagnostic Radiology

Grace Clinic Imaging Department - NPI 1558523357

Grace Clinic Imaging Department is a Diagnostic Radiology in Lubbock, Texas. Grace Clinic Imaging Department practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Grace Clinic Imaging Department is 1558523357. The last update date is 2008-07-02.

Grace Clinic Imaging Department's current location address is 2804 N Loop 289, Lubbock, Texas. You can contact this provider via phone number 8067447223 and fax number 8067403325. The mailing address for Grace Clinic Imaging Department is 2804 N Loop 289, Lubbock, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Grace Clinic Imaging Department
Address 2804 N Loop 289, Lubbock, Texas
Phone Number 8067447223
Fax Number 8067403325
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CHIEF OPER
Authorized Official Name Rains Dana
Telephone Number 8067403342

NPI Number Detail

NPI Number 1558523357
Provider Enumeration Date 2008-07-02
Last Updated Date 2008-07-02

Provider Mailing Address Detail

Address 2804 N Loop 289
City Lubbock
State Texas (TX)
Post Code 794151410
Phone Number 8067447223
Fax Number 8067403325

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No R30682
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
0608DC TX BCBS OUTSIDE IMAGING
0031NR TX BCBS GROUP NO.

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FAQs about Grace Clinic Imaging Department

What is the unique 10-digit identification code issued to Grace Clinic Imaging Department by the Centers for Medicare & Medicaid Services?

The Grace Clinic Imaging Department has been assigned the NPI (National Provider Identifier) 1558523357 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where Grace Clinic Imaging Department is physically located?

The Grace Clinic Imaging Department is physically situated at the following address: 2804 N Loop 289, Lubbock, TX, 794151410.

What is Grace Clinic Imaging Department's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Grace Clinic Imaging Department's specialized field of practice is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this area of specialization is 2085R0202X.

On what date was the 1558523357 assigned to Grace Clinic Imaging Department?

The Grace Clinic Imaging Department was issued its 1558523357 on 2008-07-02, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the Grace Clinic Imaging Department's information last updated?

The Grace Clinic Imaging Department's information was last updated on 2008-07-02.

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