Lubbock Radiology LP
NPI 1245236132ActiveOrganization· Physiological Laboratory· Lubbock, TX
Physiological Laboratory in Lubbock, Texas, registered in NPPES in June 2005. The authorized official on file is Monty Medanich, Coo.
Overview
| NPI | 1245236132 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 24, 2005 |
| Last updated in NPPES | Nov 3, 2021 |
| Certified by provider | Nov 3, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physiological Laboratory Primary | 293D00000X | — | TX |
| Clinic/Center, Radiology | 261QR0200X | — | TX |
| Physiological Laboratory | 293D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Physiological Laboratory providers in Lubbock
- 1245396027