Organization
KINGDOM DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAYON BEAN RVT, RDCS, RMDS, RT (OWNER)
(806) 773-1877
Entity
Organization
Contact information
Practice address
2022 82ND ST UNIT 101, LUBBOCK, TX 79423-4317
(806) 705-7084
(806) 810-5868
Mailing address
1403 11TH PL, SHALLOWATER, TX 79363-5138
(806) 705-7084
(806) 810-5868
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
—
—
Other
Enumeration date
10/07/2025
Last updated
10/07/2025
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