Southwest Diagnostic Clinic LLP

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

F9739 Issued in TX

Legal business name

SOUTHWEST DIAGNOSTIC CLINIC LLP

Practice address

3801 50TH Street
Lubbock, TX 79413-3859

Phone

(806) 771-5550

Fax

(806) 771-5544

NPI assigned

Jul 28, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Glenda W Cochran

Title

Accounting Manager

Phone

(806) 771-5550

Specialties & licenses 1

Addresses

Other names 1

• Outreach Diagnostic Other name

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699789370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6248",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794936248",
            "telephone_number": "806-771-5550",
            "fax_number": "806-771-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 50TH STREET",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794133859",
            "telephone_number": "806-771-5550",
            "fax_number": "806-771-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST DIAGNOSTIC CLINIC LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COCHRAN",
        "authorized_official_first_name": "GLENDA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ACCOUNTING MANAGER",
        "authorized_official_telephone_number": "806-771-5550"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "TX",
            "license": "F9739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Outreach Diagnostic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• 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 Aug 22, 2020; 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.