Active NPI
City of Lubbock Health Department
- Clinical Medical Laboratory
- Lubbock, TX
National Provider Identifier
1689886319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- CLIA 45D0660644
- Legal business name
- CITY OF LUBBOCK HEALTH DEPARTMENT
- Practice address
- 1902 Texas Ave
Lubbock, TX 79411 - Phone
- (806) 775-2906
- Fax
- (806) 775-3178
- NPI assigned
- May 4, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Cloyce Stetson, M.D.
- Title
- Medical Director
- Phone
- (806) 743-2463
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | CLIA 45D0660644 | TX | Primary |
Addresses
Primary practice location
1902 Texas Ave
Lubbock, TX 79411
Mailing address
1902 Texas Ave
Lubbock, TX 79411
Phone (806) 775-2906
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 135103303 | Medicaid | TX |
National Provider Directory
National Provider Directory- Tax ID family
- Health Dept of Lubbock
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinic/Center
- Lubbock, TX
- NPI 1366689036
-
dba City of Lubbock Health Department
- State or Local Public Health Clinic/Center
- Lubbock, TX
- NPI 1528265535
Locations
1902 Texas Ave
Lubbock, TX 79411
Phone (806) 775-2906
2015 50th St
Lubbock, TX 79412
Phone (806) 775-2933
1625 13th St
Lubbock, TX 79401
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Lubbock, TX
- NPI 1023000197
-
- Hospitalist Physician
- Lubbock, TX
- NPI 1205853736
-
- Family Nurse Practitioner
- Lubbock, TX
- NPI 1518041250
-
- Infectious Disease Physician
- Lubbock, TX
- NPI 1831500578
-
- Family Medicine Physician
- Lubbock, TX
- NPI 1972942209
-
- Hospitalist Physician
- Topeka, KS
- NPI 1740863356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1274313600000",
"number": "1689886319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1902 TEXAS AVE",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "79411",
"telephone_number": "806-775-2906",
"fax_number": "806-775-3178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1902 TEXAS AVE",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "79411",
"telephone_number": "806-775-2906",
"fax_number": "806-775-3178"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF LUBBOCK HEALTH DEPARTMENT",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-04",
"last_updated": "2010-05-20",
"status": "A",
"authorized_official_last_name": "STETSON",
"authorized_official_first_name": "CLOYCE",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "806-743-2463",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "TX",
"license": "CLIA 45D0660644",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "135103303",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lubbock, TX
- Porntip Chungchansat, MD
- Jonathan Christopher Ciaccio, RPH
- City of Ennis (Windmill Village Rehabilitation & Care Center)
- City of Lubbock
- City of Lubbock (City of Lubbock Health Department)
- City Transit Management
- City Transit Management Company, Inc. (Citibus)
- City View Medical Staffing
- Kayla Janae Clabaugh, LVN
- Taylor Breanne Clair
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.