Organization
MRI CENTRAL LUBBOCK LLC
Active
Other names
MRI CENTRAL LUBBOCK
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARTH F JAMES (PRESIDENT)
(214) 368-9966
Entity
Organization
Contact information
Practice address
4511 UNIVERSITY AVE, LUBBOCK, TX 79413-3615
(806) 281-0111
(806) 788-0555
Mailing address
12225 GREENVILLE AVE STE 700, DALLAS, TX 75243-9338
(877) 361-8018
(888) 542-6858
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0224DC
BCBS TX
TX
05
—
152053801
—
TX
01
—
2202558
UHC
TX
01
—
2242044
FIRST HEALTH CCN
TX
01
—
362537100
OWCP
TX
01
—
7675373
AETNA
TX
01
—
8685442
CIGNA
TX
Enumeration date
06/23/2005
Last updated
03/04/2009
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