NPI: 1114200342 · FOUNTAIN VALLEY, CA 92708 · Physiological Laboratory · NPI assigned 09/23/2011
| Authorized Official | GURR, DAVID (GENERAL MANAGER) |
| NPI Enumeration Date | 09/23/2011 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 14 | $6K |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| 95811 | 14 | 14 | $6K |