NPI: 1518472950 · FORT MOHAVE, AZ 86426 · Physiological Laboratory · NPI assigned 12/07/2017
| Authorized Official | TABORA, HANZ (OWNER/MEMBER MANAGER) |
| NPI Enumeration Date | 12/07/2017 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 50 | $1K |
| 2021 | 34 | $1K |
| 2022 | 13 | $652.47 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 72114 | 97 | 86 | $3K |