LUBBOCK INTERVENTIONAL NEPHROLOGY ASSOCIATES PA NPI 1669909404

NPI Information

  • NPI: 1669909404
  • Provider Name: LUBBOCK INTERVENTIONAL NEPHROLOGY ASSOCIATES PA
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: LUBBOCK VASCULAR ACCESS
  • CLIA Number: 45D1103872
  • Address: 1126 SLIDE RD
    SUITE # 1
    LUBBOCK, TX
    ZIP 79416
  • Phone: (806) 792-2222

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NPI Details

LUBBOCK INTERVENTIONAL NEPHROLOGY ASSOCIATES PA is an ambulatory surgical clinic center in Lubbock, TX. LUBBOCK INTERVENTIONAL NEPHROLOGY ASSOCIATES PA NPI is 1669909404. The provider is registered as an organization entity type.
The provider Is Doing Business As Lubbock Vascular Access.

The provider's business location address is:

1126 SLIDE RD
SUITE # 1
LUBBOCK, TX
ZIP 79416-462
Phone: (806) 792-2222

The provider's authorized official is Jennifer Lee Coleman .
The authorized official title is Facility Administration and has the following contact phone number (806) 793-8447.

The CLIA number assigned to this NPI record is 45D1103872 - physician office with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist (HCPCS:36902)
  • Removal of tunneled central venous tube (HCPCS:36589)
  • Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment with imaging review by radiologist, with balloon tube (HCPCS:36905)
  • Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment and placement of stent with review by radiologist (HCPCS:36906)
  • Replacement of tunneled central venous tube (HCPCS:36581)
  • Insertion of needle and/or tube into hemodialysis circuit with review by radiologist (HCPCS:36901)
  • Mechanical removal of tissue or obstructive material from central venous tube (HCPCS:36596)
  • Balloon dilation of vein with review by radiologist, initial vein (HCPCS:37248)

The enumeration date for this NPI number is 5/11/2017 and was last updated on 8/25/2023.

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
1261QA1903XClinic/CenterAmbulatory Surgical14579TEXASYes

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: 3/30/2025

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