Active NPI
South Plains Diagnostic, LLC
- Radiologic Technologist
- Lubbock, TX
National Provider Identifier
1750414041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiologic Technologist
- License
- R27457
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiologic Technologist | 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 DirectoryLocations
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.
-
- Pain Medicine (Anesthesiology) Physician
- Meridian, MS
- NPI 1023070893
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
- South Plains Academy
- South Plains Community Action Association, Inc.
- South Plains Community Action Association, Inc.
- South Plains Community Action Association, Inc.
- South Plains Community Action Association, Inc.
- South Plains Endoscopy Center
- South Plains Healthcare, Inc.
- South Plains Hearing Aid Center
- South Plains Home Health Care, LLC
- South Plains Infusion, Inc
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.