NPI: 1174167597 · DENVER, CO 80209 · Clinical Medical Laboratory · NPI assigned 10/29/2019
| Authorized Official | GRAY, KEITH (PRESIDENT) |
| NPI Enumeration Date | 10/29/2019 |
Other providers sharing the same authorized official: GRAY, KEITH
| Provider | City | State | Total Paid |
|---|---|---|---|
| AXIS PROFESSIONAL LABS LLC | FARMERS BRANCH | TX | $459K |
| LEANNAH INVESTMENT PARTNERS, LTD | FRISCO | TX | $264K |
| BETA BIOSCIENCES, LLC | KANSAS CITY | MO | $55K |
| KINGDOM HEALTH LABORATORY LLC | DALLAS | TX | $19K |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 25 | $408.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 81238 | 25 | 25 | $408.00 |