Grace Clinic Of Lubbock in Lubbock - Diagnostic Radiology
Grace Clinic Of Lubbock - NPI 1912953357
Grace Clinic Of Lubbock is a Diagnostic Radiology in Lubbock, Texas. Grace Clinic Of Lubbock practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Grace Clinic Of Lubbock is 1912953357. The last update date is 2020-09-02.
Grace Clinic Of Lubbock's current location address is 4515 Marsha Sharp Fwy, Lubbock, Texas. You can contact this provider via phone number 8067447223 and fax number 8067403325. The mailing address for Grace Clinic Of Lubbock is 4515 Marsha Sharp Fwy, Lubbock, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Grace Clinic Of Lubbock |
|---|---|
| Address | 4515 Marsha Sharp Fwy, Lubbock, Texas |
| Phone Number | 8067447223 |
| Fax Number | 8067403325 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CLINIC ADM |
|---|---|
| Authorized Official Name | Martin Lisa |
| Telephone Number | 8067403342 |
NPI Number Detail
| NPI Number | 1912953357 |
|---|---|
| Provider Enumeration Date | 2006-05-26 |
| Last Updated Date | 2020-09-02 |
Provider Mailing Address Detail
| Address | 4515 Marsha Sharp Fwy |
|---|---|
| City | Lubbock |
| State | Texas (TX) |
| Post Code | 794072520 |
| Phone Number | 8067447223 |
| Fax Number | 8067403325 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
|
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 |
|---|---|---|---|
| 184774101 | TX | -- | |
| CL5159 | TX | BCBS (OUTSIDE LABORATORY) | |
| 0031NR | TX | BCBS (GROUP #) | |
| 0608DC | TX | BCBS (OUTSIDE IMAGING) |
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What is the Grace Clinic Of Lubbock's unique identification number?
The Grace Clinic Of Lubbock has been assigned the NPI (National Provider Identifier) Number 1912953357 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Grace Clinic Of Lubbock is located?
The Grace Clinic Of Lubbock is situated at the following address: 4515 Marsha Sharp Fwy, Lubbock, TX, 794072520.
What is Grace Clinic Of Lubbock's specialized field of practice, and what is the corresponding taxonomy classification code?
The Grace Clinic Of Lubbock's area of specialization is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this field of practice is 2085R0202X.
On what date did the Centers for Medicare & Medicaid Services assign the 1912953357 to Grace Clinic Of Lubbock?
The Centers for Medicare & Medicaid Services assigned the 1912953357 to Grace Clinic Of Lubbock on 2006-05-26.
When was the Grace Clinic Of Lubbock's information last updated?
The Grace Clinic Of Lubbock's information was last updated on 2020-09-02.
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