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PACIFIC RADIOLOGY INC A PROFESSIONAL CORPORATION
PACIFIC RADIOLOGY INC A PROFESSIONAL CORPORATION
NPI: 1023230752
· TAMUNING, GU 96913
· Diagnostic Radiology Physician
· NPI assigned 05/03/2007
$111.80
Total Medicaid Paid
Provider Details
| Authorized Official | LIZAMA, VINCENT (PRESIDENT) |
| NPI Enumeration Date | 05/03/2007 |
Related Entities
Other providers sharing the same authorized official: LIZAMA, VINCENT
| Provider | City | State | Total Paid |
|---|
| YBL PLLC |
TAMUNING |
GU |
$158K |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
13 |
$111.80 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71046 |
Radiologic examination, chest; 2 views |
13 |
13 |
$111.80 |