Provider Demographics
NPI:1043594179
Name:LUBBOCK CT, INC.
Entity Type:Organization
Organization Name:LUBBOCK CT, INC.
Other - Org Name:HOBBS CT, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:S
Authorized Official - Last Name:NEIDERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-792-6736
Mailing Address - Street 1:3305 N GRIMES ST
Mailing Address - Street 2:
Mailing Address - City:HOBBS
Mailing Address - State:NM
Mailing Address - Zip Code:88240-1219
Mailing Address - Country:US
Mailing Address - Phone:575-392-0120
Mailing Address - Fax:575-738-1521
Practice Address - Street 1:3305 N GRIMES ST
Practice Address - Street 2:
Practice Address - City:HOBBS
Practice Address - State:NM
Practice Address - Zip Code:88240-1219
Practice Address - Country:US
Practice Address - Phone:575-392-0120
Practice Address - Fax:575-738-1521
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-07
Last Update Date:2013-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXFTX308Medicare UPIN