Grace Clinic Imaging Department
NPI 1558523357ActiveOrganization· Radiology, Diagnostic Radiology· Lubbock, TX
Radiology, Diagnostic Radiology in Lubbock, Texas, registered in NPPES in July 2008, part of Grace Clinic. The authorized official on file is Donald Wayne Anderson, Assistant Secretary Of Enrollments.
Overview
| NPI | 1558523357 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Grace Clinic |
| NPI issued | Jul 2, 2008 |
| Last updated in NPPES | May 6, 2025 |
| Certified by provider | May 6, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | R30682 | TX |
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 |
|---|
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