NPI age
20 years
Enumerated 2005-06-24
● Active Type 2 · Organization
Lubbock Radiology Lp
Lubbock Radiology Lp is 1 of 381 physiological laboratory organizations in Texas.
Primary specialty
Physiological Laboratory
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Medanich
Coo
Last NPPES update
2021-11-03
Source: monthly bulk 2026-05
How this organization compares
Across 381 active physiological laboratory providers in Texas.
NPI age
20 years
↑ 8 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 27% of peers with subspecialties
NPI lifetime · 2005 → 2026
2005-06Enumerated in NPPES
2005
2026
Where they practice
Primary practice location
3707 21st St
Lubbock, TX 794101219
Mailing address
Po Box 2160
Lubbock, TX 794082160
Authorized official
Monty Medanich
Coo
📞 8067922767
Specialties
-
Physiological Laboratory PrimaryA laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as...
-
Clinic/CenterDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 1895212 | FIRST HEALTH |
| 01 | 470001572 | RR MEDICARE |
| 01 (TX) | J730 | BLUE CROSS |
| 05 (NM) | W6027 | |
| 01 (TX) | 104497100 | FIRSTCARE |
| 05 (TX) | 153651801 |
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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