NPIMap

Organization Active NPI

Texas Tech University Health Sciences Center Lubbock

  • Clinical Medical Laboratory
  • Lubbock, TX
National Provider Identifier
1154370443
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER LUBBOCK
Practice address
3601 4TH St RM 1A100
Lubbock, TX 79430-0002
Phone
(806) 775-8360
Fax
(806) 743-2117
NPI assigned
May 6, 2006
Last updated
Jul 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Authorized official

Name
Brett Swett
Title
Assistant Dean of Finance Admin
Phone
(806) 743-1830

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Pathology/Laboratory Medicine Physician 207ZP0105X NU
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

3601 4TH St RM 1A100
Lubbock, TX 79430-0002

Mailing address

PO Box 27476
Salt Lake City, UT 84127-0476
Phone (806) 743-4263

Other identifiers 4

IdentifierTypeStateIssuer
131062508MedicaidTX
CL00600OtherTXBC/BS
G1217MedicaidNM
131062506MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050721000778 TX Part B Supplier - Independent Clinical Laboratory 4385549674 Practice locations: Lubbock, TX
O20110318000468 TX Part B Supplier - Clinic/Group Practice 4385549674 Receives reassigned benefits from 692 practitioners
23 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 23

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 23

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0508003Texas Tech Univ Health Science Center3601 4TH Street Ms 9904, Lubbock, TX 79430Provider-performed microscopyAug 31, 2026
45D0508030Texas Tech University Health Science Center3601 4TH Street, Lubbock, TX 79430AccreditationApr 27, 2027
45D0680156Texas Tech Physicians Urology3601 4TH Street Stop 7260, Lubbock, TX 79430Provider-performed microscopyAug 31, 2026
45D0687759Texas Tech Physicians of Lubbock Family Physicians3601 4TH Street Ms 9901, Lubbock, TX 79430Provider-performed microscopyJun 29, 2028
45D0725969Texas Tech Univ Health Sciences Center3601 4TH Street Texas Tech Univ Ms 9902, Lubbock, TX 79430Provider-performed microscopyAug 31, 2026
45D0917827TX Tech Uv HLTH Sci Ctr DPT of Surgery3601 4TH Street 3A112, Lubbock, TX 79430Certificate of waiverJul 25, 2026

National Provider Directory

National Provider Directory
Tax ID family
Texas Tech University Health Sciences Center Lubbock21 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Locations

3601 4th St
Rm 1A100
Lubbock, TX 79430
Phone (806) 775-8360

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1146873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785196800000",
    "number": "1154370443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27476",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270476",
            "telephone_number": "806-743-4263",
            "fax_number": "806-743-2787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 4TH ST RM 1A100",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794300002",
            "telephone_number": "806-775-8360",
            "fax_number": "806-743-2117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER LUBBOCK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-06",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A",
        "authorized_official_last_name": "SWETT",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "ASSISTANT DEAN OF FINANCE ADMIN",
        "authorized_official_telephone_number": "806-743-1830"
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131062508",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "CL00600",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G1217",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131062506",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.