NPI 1184806143
Manasseh Medical Imaging, INC
Practice location
- Address
- 4311 Ironton Ave #2, Lubbock, TX 79407-3735
- Phone
- (806) 239-0509
- Mailing address
- PO Box 16856, Lubbock, TX 79490-6856
Authorised official
- Name
- Larry Rosales
- Title
- President
- Phone
- (806) 239-0509
Registered specialties (2)
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
Physiological Laboratory
Registry record
- NPI
- 1184806143
- Entity type
- Organization
- NPI issued
- 3 Dec 2007
- Record last updated
- 25 Apr 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.