LUBBOCK COOPER HEALTH CENTER
NPI 1831579382
Family Medicine in Lubbock, TX

Active since May 30, 2015CLIA 45D2198562 · Waiver
12115 INDIANA AVE, LUBBOCK, TX 79423(806) 531-3977(806) 531-3978 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 23, 2024, Feb 19, 2021, Dec 14, 2020 and 2 more (5 updates tracked since 2019).

About Lubbock Cooper Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LUBBOCK COOPER HEALTH CENTER (NPI 1831579382) is a healthcare organization registered as a family medicine in Lubbock, Texas and active in the NPI registry since May 2015. The organization holds a CLIA Waiver certificate valid through November 2, 2026 and lists Marcus M Edge, General Manager, as its authorized official.

NPPES Registry Identity

NPI1831579382
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDAVID R LONG MD PA
Location Address12115 INDIANA AVELubbock, TX 79423-5501
Mailing Address12115 Indiana AveLubbock, TX 79423-5501 · (806) 531-3977 · Fax (806) 531-3978
Fax(806) 531-3978
Organization SubpartNo
Authorized OfficialMarcus M EdgeGeneral Manager · (806) 686-3065
Enumeration DateMay 30, 2015
Last NPPES UpdateSeptember 23, 20245 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2024
NPI 1831579382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
12115 INDIANA AVE, Lubbock, TX 79423

Other Names 1

Doing Business AsLubbock Cooper Health Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2198562

Lubbock Cooper Health Center · Lubbock, TX
Active · expires Nov 2, 2026
CLIA Number45D2198562
Laboratory TypePhysician Office
Certificate Effective DateNovember 3, 2024
Certificate Expiration DateNovember 2, 2026
Laboratory DirectorDavid R. Long
Laboratory Phone(806) 531-3977
Laboratory LocationLubbock Cooper Health Center12115 Indiana Ave, Lubbock, TX 79423
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
12115 INDIANA AVE
LUBBOCK, TX 79423
Nurse Practitioner (Family)
12115 INDIANA AVE
LUBBOCK, TX 79423
Nurse Practitioner (Family)
12115 INDIANA AVE
LUBBOCK, TX 79423
Nurse Practitioner (Family)
12115 INDIANA AVE
LUBBOCK, TX 79423

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David R Long MD PA's NPI number?

The NPI number for David R Long MD PA is 1831579382. It was assigned to this organization in the NPPES registry on May 30, 2015. The provider is doing business as Lubbock Cooper Health Center.

Where is David R Long MD PA located?

David R Long MD PA is located at 12115 Indiana Ave, Lubbock, TX 79423. The listed phone number is (806) 531-3977.

What is David R Long MD PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does David R Long MD PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2198562) is associated with this NPI, valid through November 2, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does David R Long MD PA accept?

Health plans from WellPoint list David R Long MD PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for David R Long MD PA was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.