NPI: 1104961614 · LA VISTA, NE 68128 · Diagnostic Radiology Physician · NPI assigned 02/21/2007
| Authorized Official | FAULK, ROBERT (MEDICAL DIRECTOR) |
| NPI Enumeration Date | 02/21/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 27 | $405.15 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 71046 | Radiologic examination, chest; 2 views | 27 | 25 | $405.15 |