<?xml version="1.0" encoding="UTF-8"?><edgarSubmission xmlns="http://www.sec.gov/edgar/schedule13g" xmlns:ns1="http://www.sec.gov/edgar/common">
  <schemaVersion>X0202</schemaVersion>
<headerData>
    <submissionType>SCHEDULE 13G</submissionType>
    <filerInfo>
      <filer>
        <filerCredentials>
          <cik>0001345929</cik>
          <ccc>XXXXXXXX</ccc>
        </filerCredentials>
      </filer>
      <liveTestFlag>LIVE</liveTestFlag>



    </filerInfo>
  </headerData>
  <formData>
    <coverPageHeader>
      <securitiesClassTitle>Common stock, par value $0.0001 per share</securitiesClassTitle>
      <eventDateRequiresFilingThisStatement>06/30/2026</eventDateRequiresFilingThisStatement>
      <issuerInfo>
        <issuerCik>0002071288</issuerCik>
        <issuerName>Lumexa Imaging Holdings, Inc.</issuerName>
        <issuerCusips>
          <issuerCusipNumber>550249106</issuerCusipNumber>
        </issuerCusips>
        <issuerPrincipalExecutiveOfficeAddress>
          <ns1:street1>4200 SIX FORKS ROAD</ns1:street1>
          <ns1:street2>SUITE 1000</ns1:street2>
          <ns1:city>RALEIGH</ns1:city>
          <ns1:stateOrCountry>NC</ns1:stateOrCountry>
          <ns1:zipCode>27609</ns1:zipCode>
        </issuerPrincipalExecutiveOfficeAddress>
      </issuerInfo>
      <designateRulesPursuantThisScheduleFiled>
        <designateRulePursuantThisScheduleFiled>Rule 13d-1(b)</designateRulePursuantThisScheduleFiled>
      </designateRulesPursuantThisScheduleFiled>
    </coverPageHeader>
    <coverPageHeaderReportingPersonDetails>


      <reportingPersonName>BROWN ADVISORY INC</reportingPersonName>
      <citizenshipOrOrganization>MD</citizenshipOrOrganization>
      <reportingPersonBeneficiallyOwnedNumberOfShares>
        <soleVotingPower>5487188</soleVotingPower>
        <sharedVotingPower>0</sharedVotingPower>
        <soleDispositivePower>0</soleDispositivePower>
        <sharedDispositivePower>5837497</sharedDispositivePower>
      </reportingPersonBeneficiallyOwnedNumberOfShares>
      <reportingPersonBeneficiallyOwnedAggregateNumberOfShares>5842935</reportingPersonBeneficiallyOwnedAggregateNumberOfShares>
      <aggregateAmountExcludesCertainSharesFlag>N</aggregateAmountExcludesCertainSharesFlag>
      <classPercent>6.08</classPercent>
      <typeOfReportingPerson>HC</typeOfReportingPerson>
    </coverPageHeaderReportingPersonDetails>
    <coverPageHeaderReportingPersonDetails>


      <reportingPersonName>BROWN INVESTMENT ADVISORY &amp; TRUST CO</reportingPersonName>
      <citizenshipOrOrganization>MD</citizenshipOrOrganization>
      <reportingPersonBeneficiallyOwnedNumberOfShares>
        <soleVotingPower>75048</soleVotingPower>
        <sharedVotingPower>0</sharedVotingPower>
        <soleDispositivePower>0</soleDispositivePower>
        <sharedDispositivePower>69610</sharedDispositivePower>
      </reportingPersonBeneficiallyOwnedNumberOfShares>
      <reportingPersonBeneficiallyOwnedAggregateNumberOfShares>75048</reportingPersonBeneficiallyOwnedAggregateNumberOfShares>
      <aggregateAmountExcludesCertainSharesFlag>N</aggregateAmountExcludesCertainSharesFlag>
      <classPercent>0.08</classPercent>
      <typeOfReportingPerson>BK</typeOfReportingPerson>
    </coverPageHeaderReportingPersonDetails>
    <coverPageHeaderReportingPersonDetails>


      <reportingPersonName>SIGNATURE FINANCIAL MANAGEMENT, INC.</reportingPersonName>
      <citizenshipOrOrganization>VA</citizenshipOrOrganization>
      <reportingPersonBeneficiallyOwnedNumberOfShares>
        <soleVotingPower>3590</soleVotingPower>
        <sharedVotingPower>0</sharedVotingPower>
        <soleDispositivePower>0</soleDispositivePower>
        <sharedDispositivePower>4353</sharedDispositivePower>
      </reportingPersonBeneficiallyOwnedNumberOfShares>
      <reportingPersonBeneficiallyOwnedAggregateNumberOfShares>4353</reportingPersonBeneficiallyOwnedAggregateNumberOfShares>
      <aggregateAmountExcludesCertainSharesFlag>N</aggregateAmountExcludesCertainSharesFlag>
      <classPercent>0.01</classPercent>
      <typeOfReportingPerson>IA</typeOfReportingPerson>
    </coverPageHeaderReportingPersonDetails>
    <coverPageHeaderReportingPersonDetails>


      <reportingPersonName>BROWN ADVISORY LLC</reportingPersonName>
      <citizenshipOrOrganization>MD</citizenshipOrOrganization>
      <reportingPersonBeneficiallyOwnedNumberOfShares>
        <soleVotingPower>5408550</soleVotingPower>
        <sharedVotingPower>0</sharedVotingPower>
        <soleDispositivePower>0</soleDispositivePower>
        <sharedDispositivePower>5763534</sharedDispositivePower>
      </reportingPersonBeneficiallyOwnedNumberOfShares>
      <reportingPersonBeneficiallyOwnedAggregateNumberOfShares>5763534</reportingPersonBeneficiallyOwnedAggregateNumberOfShares>
      <aggregateAmountExcludesCertainSharesFlag>N</aggregateAmountExcludesCertainSharesFlag>
      <classPercent>6</classPercent>
      <typeOfReportingPerson>IA</typeOfReportingPerson>
    </coverPageHeaderReportingPersonDetails>
    <items>
      <item1>
        <issuerName>Lumexa Imaging Holdings, Inc.</issuerName>
        <issuerPrincipalExecutiveOfficeAddress>4200 SIX FORKS ROAD, SUITE 1000, RALEIGH, NORTH CAROLINA
27609</issuerPrincipalExecutiveOfficeAddress>
      </item1>
      <item2>
        <filingPersonName>BROWN ADVISORY INC

BROWN INVESTMENT ADVISORY &amp; TRUST CO

SIGNATURE FINANCIAL MANAGEMENT, INC.

BROWN ADVISORY LLC</filingPersonName>
        <principalBusinessOfficeOrResidenceAddress>901 SOUTH BOND STREET
SUITE #400
Baltimore, Maryland
21231</principalBusinessOfficeOrResidenceAddress>
        <citizenship>BROWN ADVISORY INC - MARYLAND

BROWN INVESTMENT ADVISORY &amp; TRUST CO - MARYLAND

SIGNATURE FINANCIAL MANAGEMENT, INC. - VIRGINIA

BROWN ADVISORY LLC - MARYLAND</citizenship>
      </item2>
      <item3>
        <notApplicableFlag>N</notApplicableFlag>
        <typeOfPersonFiling>BK</typeOfPersonFiling>
        <typeOfPersonFiling>IA</typeOfPersonFiling>
        <typeOfPersonFiling>HC</typeOfPersonFiling>
      </item3>
      <item4>
        <amountBeneficiallyOwned>5,842,935</amountBeneficiallyOwned>
        <classPercent>6.08</classPercent>
        <numberOfSharesPersonHas>
          <solePowerOrDirectToVote>BROWN ADVISORY INC - 5,487,188

BROWN INVESTMENT ADVISORY &amp; TRUST CO - 75,048

SIGNATURE FINANCIAL MANAGEMENT, INC. - 3,590

BROWN ADVISORY LLC - 5,408,550</solePowerOrDirectToVote>
          <sharedPowerOrDirectToVote>BROWN ADVISORY INC - 0

BROWN INVESTMENT ADVISORY &amp; TRUST CO - 0

SIGNATURE FINANCIAL MANAGEMENT, INC. - 0

BROWN ADVISORY LLC - 0</sharedPowerOrDirectToVote>
          <solePowerOrDirectToDispose>BROWN ADVISORY INC - 0

BROWN INVESTMENT ADVISORY &amp; TRUST CO - 0

SIGNATURE FINANCIAL MANAGEMENT, INC. - 0

BROWN ADVISORY LLC - 0</solePowerOrDirectToDispose>
          <sharedPowerOrDirectToDispose>BROWN ADVISORY INC - 5,837,497

BROWN INVESTMENT ADVISORY &amp; TRUST CO - 69,610

SIGNATURE FINANCIAL MANAGEMENT, INC. - 4,353

BROWN ADVISORY LLC - 5,763,534</sharedPowerOrDirectToDispose>
        </numberOfSharesPersonHas>
      </item4>
      <item5>
        <notApplicableFlag>Y</notApplicableFlag>
      </item5>
      <item6>
        <notApplicableFlag>N</notApplicableFlag>
        <ownershipMoreThan5PercentOnBehalfOfAnotherPerson>
The total securities being reported are beneficially owned by investment companies and other managed accounts of direct/indirect subsidiaries of BROWN ADVISORY INC (listed above). These subsidiaries may be deemed to be beneficial owners of the reported securities because applicable investment advisory contracts provide voting and/or investment power over securities.</ownershipMoreThan5PercentOnBehalfOfAnotherPerson>
      </item6>
      <item7>
        <notApplicableFlag>N</notApplicableFlag>
        <subsidiaryIdentificationAndClassification>BROWN ADVISORY INC is a parent holding company filing this schedule on behalf of the following subsidiaries pursuant to Rule 13d-1(b)(1)(ii)(G) under the Securities Exchange Act of 1934:
BROWN ADVISORY LLC - IA (Investment Adviser)
BROWN INVESTMENT ADVISORY &amp; TRUST CO - BK (Bank)
SIGNATURE FINANCIAL MANAGEMENT, INC. - IA (Investment Adviser)</subsidiaryIdentificationAndClassification>
      </item7>
      <item8>
        <notApplicableFlag>Y</notApplicableFlag>
      </item8>
      <item9>
        <notApplicableFlag>Y</notApplicableFlag>
      </item9>
      <item10>
        <notApplicableFlag>N</notApplicableFlag>
        <certifications>By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were acquired and are held in the ordinary course of business and were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect, other than activities solely in connection with a nomination under § 240.14a-11.</certifications>
      </item10>
    </items>
    <signatureInformation>
      <reportingPersonName>BROWN ADVISORY INC</reportingPersonName>
      <signatureDetails>
        <signature>/s/Victor Fernandez</signature>
        <title>Victor Fernandez, Chief Compliance Officer</title>
        <date>08/14/2026</date>
      </signatureDetails>
    </signatureInformation>
    <signatureInformation>
      <reportingPersonName>BROWN INVESTMENT ADVISORY &amp; TRUST CO</reportingPersonName>
      <signatureDetails>
        <signature>/s/Victor Fernandez</signature>
        <title>Victor Fernandez, Chief Compliance Officer</title>
        <date>08/14/2026</date>
      </signatureDetails>
    </signatureInformation>
    <signatureInformation>
      <reportingPersonName>SIGNATURE FINANCIAL MANAGEMENT, INC.</reportingPersonName>
      <signatureDetails>
        <signature>/s/Victor Fernandez</signature>
        <title>Victor Fernandez, Chief Compliance Officer</title>
        <date>08/14/2026</date>
      </signatureDetails>
    </signatureInformation>
    <signatureInformation>
      <reportingPersonName>BROWN ADVISORY LLC</reportingPersonName>
      <signatureDetails>
        <signature>/s/Victor Fernandez</signature>
        <title>Victor Fernandez, Chief Compliance Officer</title>
        <date>08/14/2026</date>
      </signatureDetails>
    </signatureInformation>
  </formData>
</edgarSubmission>
