NPI: 1568466209 · SUFFOLK, VA 23434 · Ambulatory Surgical Clinic/Center · NPI assigned 06/10/2005
| Authorized Official | HARTZ, JAMES (OWNER) |
| NPI Enumeration Date | 06/10/2005 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 12 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 01999 | 12 | 12 | $0.00 |