PMDTC, LLC
NPI: 1518419068
· SAN JUAN CAPISTRANO, CA 92675
· Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
· NPI assigned 11/01/2016
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | MALOOF, TANGINA (TREASURER) |
| NPI Enumeration Date | 11/01/2016 |
Related Entities
Other providers sharing the same authorized official: MALOOF, TANGINA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
14 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 93925 |
|
14 |
14 |
$0.00 |