Organization Active NPI

South Plains Diagnostic, LLC

  • Radiologic Technologist
  • Lubbock, TX
National Provider Identifier
1750414041
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiologic TechnologistTaxonomy code 247100000X
License
R27457 Issued in TX
Legal business name
SOUTH PLAINS DIAGNOSTIC, LLC
Practice address
5009 University Ave
Suite F
Lubbock, TX 79413-4431
Phone
(806) 795-1222
Fax
(806) 795-1191
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Marla Dianne Hall
Title
Administrator
Phone
(806) 795-1222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiologic TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 247100000X R27457 TX Primary

Addresses

Primary practice location

5009 University Ave
Suite F
Lubbock, TX 79413-4431

Mailing address

5009 University Ave
Suite F
Lubbock, TX 79413-4431
Phone (806) 795-1222

National Provider Directory

National Provider Directory

Locations

4210 50th St
Ste B
Lubbock, TX 79413
Phone (806) 795-1222

5009 University Ave
Ste F
Lubbock, TX 79413
Phone (806) 795-1222

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750414041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5009 UNIVERSITY AVE",
            "address_2": "SUITE F",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794134431",
            "telephone_number": "806-795-1222",
            "fax_number": "806-795-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5009 UNIVERSITY AVE",
            "address_2": "SUITE F",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794134431",
            "telephone_number": "806-795-1222",
            "fax_number": "806-795-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH PLAINS DIAGNOSTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "MARLA",
        "authorized_official_middle_name": "DIANNE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "806-795-1222",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist",
            "state": "TX",
            "license": "R27457",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 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.