| Organization Name: | METHODIST DIAGNOSTIC IMAGING |
| NPI Number: | 1013914613 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MONTY MEDANICH (COO) |
| Mailing Address: | 3525 19th St Lubbock |
| State: | TX US |
| Postal Code: | 794101202 |
| Phone Number: | 8067922767 |
| Fax Number: | 8067916709 |
| NPI Enumeration Date: | 06/29/2005 |
| NPI Last Update Date: | 02/05/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | N/A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |