All Medicaid billing entities listing JOLLY, TARUN (OWNER) as their authorized official in the NPPES registry.
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | PROVISTA HEALTH, LLC | SCOTTSDALE, AZ | Clinical Medical Laboratory | $105K |
| 2 | ANIMO LAB SERVICES LLC | MARRERO, LA | Clinical Pathology/Laboratory Medicine Physician | $0.00 |