Whalio Doctors

NPI 1184806143

Manasseh Medical Imaging, INC

Organisation Portable X-ray and/or Other Portable Diagnostic Imaging Supplier Lubbock, TX

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
Suppliers Taxonomy 335V00000X
Physiological Laboratory
Laboratories Taxonomy 293D00000X Licence FTUVC9 (TX)

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.