BLACK WATER LAB LLC
NPI: 1366907701
· MONROE, LA 71203
· Clinical Medical Laboratory
· NPI assigned 02/08/2019
Provider Details
| Authorized Official | FLUITT, SUSAN (OFFICE MANAGER) |
| NPI Enumeration Date | 02/08/2019 |
Related Entities
Other providers sharing the same authorized official: FLUITT, SUSAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
46 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
23 |
23 |
$1K |
| U0005 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 |
23 |
23 |
$452.50 |