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KING'S MANAGEMENT & LEASING LLC NPI 1487657425


NPI Information

NPI: 1487657425
Provider Name: KING'S MANAGEMENT & LEASING LLC

Doing Business As: LONGVIEW IMAGING CENTER

Classification: Physiological Laboratory - 293D00000X
Entity Type: Organization

CLIA Number: 45D2282573

Address:
2901 JUDSON RD
LONGVIEW, TX
ZIP 75605
Phone: (903) 663-0110
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KING'S MANAGEMENT & LEASING LLC is a physiological laboratory in Longview, TX. The provider is a 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 independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. KING'S MANAGEMENT & LEASING LLC NPI is 1487657425. The provider is registered as an organization entity type.
The provider Is Doing Business As Longview Imaging Center.

The provider's business location address is:

2901 JUDSON RD
LONGVIEW, TX
ZIP 75605-803
Phone: (903) 663-0110
Fax: (903) 663-0279

The provider's authorized official is V. Renae Barlow .
The authorized official title is Director Of Billing and has the following contact phone number (330) 528-1828.

The CLIA number assigned to this NPI record is 45D2282573 - other - free standing ed with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 5/23/2005 and was last updated on 9/20/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1293D00000XPhysiological LaboratoryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1FTNX03MEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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