LIBERTY MOBILE LABS INC
NPI: 1568949758
· BOLINGBROOK, IL 60440
· In Home Supportive Care Agency
· NPI assigned 07/20/2018
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | HANSEN, DONALD (OWNER) |
| NPI Enumeration Date | 07/20/2018 |
Related Entities
Other providers sharing the same authorized official: HANSEN, DONALD
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
72 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 36415 |
Collection of venous blood by venipuncture |
36 |
36 |
$0.00 |
| P9603 |
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled |
36 |
36 |
$0.00 |