Methodist Diagnostic Imaging

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

N/A Issued in TX

Legal business name

METHODIST DIAGNOSTIC IMAGING

Practice address

3525 19TH St
Lubbock, TX 79410-1202

Phone

(806) 792-2767

Fax

(806) 791-6709

NPI assigned

Jun 29, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Donald W Anderson Jr.

Title

Assistant Secretary of Enrollments

Phone

(425) 358-9786

Specialties & licenses 3

Addresses

Other identifiers 6

Other names 1

• COVENANT DIAGNOSTIC IMAGING Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Methodist Children'S Hospital

  • Home Infusion Therapy Pharmacy
  • Lubbock, TX
  • NPI 1568451763

  Member Of

  NPD member

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Todd Randall Samuels, M.D.

  • Diagnostic Radiology Physician
  • Lubbock, TX
  • NPI 1316942014
  NPD (past)
• Todd E. Hegstrom, MD

  • Diagnostic Radiology Physician
  • Grand Junction, CO
  • NPI 1669474896
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746576000000",
    "number": "1013914613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2190",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794082190",
            "telephone_number": "806-792-2767",
            "fax_number": "806-791-6709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 19TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101202",
            "telephone_number": "806-792-2767",
            "fax_number": "806-791-6709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METHODIST DIAGNOSTIC IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-29",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY OF ENROLLMENTS",
        "authorized_official_telephone_number": "425-358-9786",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Body Imaging",
            "state": "TX",
            "license": "N/A",
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "TX",
            "license": "N/A",
            "primary": true
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "TX",
            "license": "N/A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTCARE",
            "identifier": "103173100",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "OOF91Y",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CROSSOVERMEDICAID",
            "identifier": "121741603",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DN6474",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121741601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G7966",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COVENANT DIAGNOSTIC IMAGING",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "COVENANT DIAGNOSTIC IMAGING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kyle Patrick Messer, DO
• Jorge Adrian Mesta
• Methodist Children'S Hospital
• Methodist Children'S Hospital
• Methodist Children'S Hospital
• Metro Health Care Inc
• Metro Health Care Inc
• Metro Health Care, Inc
• Metro Health Inc
• Metx, LLC

• Radiology Clinic/Center in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Radiology Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.