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Grace Clinic Imaging Department

Diagnostic Radiology Physician in Lubbock, TX · enumerated 2008 · authorized official Donald Anderson, Assistant Secretary of Enrollments.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1558523357

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Registry record

Entity type Organization (Type 2)
Legal business name Grace Clinic Imaging Department
Parent organization Grace Clinic
Practice address 4515 Marsha Sharp Fwy, Lubbock, TX, 79407
Fax (806) 740-3325
Enumeration date Jul 2, 2008
Last updated in NPPES May 6, 2025

Taxonomy & classification

2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians · License R30682 (TX) Primary

Authorized official

Name Donald Anderson
Title Assistant Secretary of Enrollments

Other identifiers

Identifier Type State Issuer
0608DC Other TX BCBS OUTSIDE IMAGING
0031NR Other TX BCBS GROUP NO.

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Grace Clinic Imaging Department?
NPPES lists Donald Anderson (Assistant Secretary of Enrollments) as the authorized official for this organization.
What is the NPI number for Grace Clinic Imaging Department?
The NPI for Grace Clinic Imaging Department is 1558523357, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-05-06.