LACKAWANNA MOBILE X-RAY, INC.
NPI: 1063607893
· DUNMORE, PA 18509
· Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
· NPI assigned 09/14/2007
$257.79
Total Medicaid Paid
Provider Details
| Authorized Official | WOELKERS, PAUL (PRESIDENT) |
| NPI Enumeration Date | 09/14/2007 |
Related Entities
Other providers sharing the same authorized official: WOELKERS, PAUL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
13 |
$257.79 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 93971 |
|
13 |
12 |
$257.79 |