NPI: 1316037526 · WASHINGTON, DC 20001 · Durable Medical Equipment & Medical Supplies · NPI assigned 10/16/2006
| Authorized Official | UDOFIA, SAM (MANAGER/OWNER) |
| NPI Enumeration Date | 10/16/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T4524 | Adult sized disposable incontinence product, brief/diaper, extra large, each | 12 | 12 | $2K |