NPI: 1376006932 · MESA, AZ 85202 · Clinical Medical Laboratory · NPI assigned 04/10/2019
| Authorized Official | WILFONG, FAB (VICE PRESIDENT OF MARKET ACCESS) |
| NPI Enumeration Date | 04/10/2019 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 25 | $152.74 |
| 2023 | 406 | $8K |
| 2024 | 564 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 91065 | 995 | 954 | $17K |