Southwest Diagnostic Clinic LLP

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

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) 771-5550

NPI assigned

Jul 25, 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 Lab Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861415648",
    "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": "806-771-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST DIAGNOSTIC CLINIC LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "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": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "F9739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Outreach Diagnostic Lab",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Southwest Hematology Oncology Associates, PA
• Southwest Hematology-Oncology Associates PA (Southwest Hematology Oncology Associates LLC)
• Southwest Medical Supply Co Inc. (Sleep Disorders Center of Lubbock)

• Clinical Medical Laboratory in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Clinical Medical Laboratory 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.