Organization Active NPI

Kingdom Diagnostics LLC

  • Diagnostic Ultrasound Physician
  • Lubbock, TX
National Provider Identifier
1770458192
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X
Legal business name
KINGDOM DIAGNOSTICS LLC
Practice address
2022 82ND St Unit 101
Lubbock, TX 79423-4317
Phone
(806) 705-7084
Fax
(806) 810-5868
NPI assigned
Oct 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Authorized official

Name
Payon Bean, RVT, RDCS, RMDS, RT
Title
Owner
Phone
(806) 773-1877

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Ultrasound PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085U0001X Primary

Addresses

Primary practice location

2022 82ND St Unit 101
Lubbock, TX 79423-4317

Mailing address

1403 11TH PL
Shallowater, TX 79363-5138
Phone (806) 705-7084

National Provider Directory

National Provider Directory

Locations

2022 82nd St
Unit 101
Lubbock, TX 79423
Phone (806) 686-3937

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": "1759795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759795200000",
    "number": "1770458192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 11TH PL",
            "city": "SHALLOWATER",
            "state": "TX",
            "postal_code": "793635138",
            "telephone_number": "806-705-7084",
            "fax_number": "806-810-5868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2022 82ND ST UNIT 101",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794234317",
            "telephone_number": "806-705-7084",
            "fax_number": "806-810-5868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGDOM DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-07",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A",
        "authorized_official_last_name": "BEAN",
        "authorized_official_first_name": "PAYON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-773-1877",
        "authorized_official_credential": "RVT, RDCS, RMDS, RT"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "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 Oct 7, 2025; 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.