NPI: 1255721114 · SULLIVAN, MO 63080 · Customized Equipment (DME) · NPI assigned 01/30/2015
| Authorized Official | GUENTZ, TAMAS (CFO) |
| NPI Enumeration Date | 01/30/2015 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 19 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| K0004 | High strength, lightweight wheelchair | 19 | 12 | $1K |