JACKSONVILLE FAMILY HEALTH CARE LAB
NPI: 1568620409
· JACKSONVILLE, IL 62650
· Clinical Medical Laboratory
· NPI assigned 05/28/2008
$29.82
Total Medicaid Paid
Provider Details
| Authorized Official | NERONE, ALAN (SENIOR VICE PRESIDENT & CFO) |
| Parent Organization | SPRINGFIELD CLINIC, LLP |
| NPI Enumeration Date | 05/28/2008 |
Related Entities
Other providers sharing the same authorized official: NERONE, ALAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
14 |
$29.82 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 81003 |
|
14 |
14 |
$29.82 |