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Organization

OPEN MRI OF LUBBOCK

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KEMP LAIDLEY (MANAGING PARTNER)
(505) 706-4455
Entity
Organization

Contact information

Practice address
3720 20TH ST, LUBBOCK, TX 79410-1208
(806) 792-6736
(806) 792-6743
Mailing address
3720 20TH ST, LUBBOCK, TX 79410-1208
(806) 792-6736
(806) 792-6743

Taxonomy

Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0651DC
BLUE CROSS BLUE SHIELD
TX
Enumeration date
09/20/2007
Last updated
03/19/2008
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