MRI Central Lubbock LLC

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

MRI CENTRAL LUBBOCK LLC

Practice address

4511 University Ave
Lubbock, TX 79413-3615

Phone

(806) 281-0111

Fax

(806) 788-0555

NPI assigned

Jun 23, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Garth F James

Title

President

Phone

(214) 368-9966

Specialties & licenses 1

Addresses

Other identifiers 7

Other names 1

• MRI CENTRAL LUBBOCK Doing business as

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236124800000",
    "number": "1790781714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12225 GREENVILLE AVE STE 700",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752439338",
            "telephone_number": "877-361-8018",
            "fax_number": "888-542-6858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4511 UNIVERSITY AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794133615",
            "telephone_number": "806-281-0111",
            "fax_number": "806-788-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MRI CENTRAL LUBBOCK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-23",
        "last_updated": "2009-03-04",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "GARTH",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-368-9966",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8685442",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH  CCN",
            "identifier": "2242044",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP",
            "identifier": "362537100",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7675373",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152053801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "2202558",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TX",
            "identifier": "0224DC",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MRI CENTRAL LUBBOCK",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leroy Moye, HIS
• Lisa Marie Moyers
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• Gisela Maria Mueller, RPT
• David Stuart Muff, M.D.
• Ghulam Mujtaba, MD

• Magnetic Resonance Imaging (MRI) Clinic/Center in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; 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.