{"npi":"1154370443","type":"NPI-2","status":"active","name":{"display":"Texas Tech University Health Sciences Center Lubbock","other":[],"organization_name":"TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER LUBBOCK","authorised_official":"Brent Magers"},"specialty":{"primary_taxonomy":"291U00000X","primary_taxonomy_description":"Clinical Medical Laboratory","slug":"clinical-medical-laboratory","schema_org_specialty":"Pathology","all":[{"code":"207ZP0105X","description":"Clinical Pathology/Laboratory Medicine Physician","primary":false,"state":null,"license":null},{"code":"291U00000X","description":"Clinical Medical Laboratory","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"3601 4TH ST","city":"LUBBOCK","state":"TX","postal_code":"794300002","country_code":"US","street_2":"ROOM 1A100","phone":"8067758360","fax":"8067432117"},{"purpose":"MAILING","street_1":"PO BOX 27476","city":"SALT LAKE CITY","state":"UT","postal_code":"841270476","country_code":"US","phone":"8067434263","fax":"8067432787"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"131062506","state":"TX","issuer":null},{"type_code":"05","label":"Medicaid","value":"G1217","state":"NM","issuer":null},{"type_code":"05","label":"Medicaid","value":"131062508","state":"TX","issuer":null},{"type_code":"01","label":"Other","value":"CL00600","state":"TX","issuer":"BC/BS"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20050721000778","type_code":"12-69","type_desc":"PART B SUPPLIER - INDEPENDENT CLINICAL LABORATORY","state":"TX","pac_id":"4385549674"}]},"enumeration_date":"2006-05-06","last_updated":"2022-03-07","_meta":{"source":"NPPES","snapshot_date":"2022-03-07","doc_url":"https://findmynpi.com/api"}}