NPI: 1588915300 · SAN MATEO, CA 94403 · Physiological Laboratory · NPI assigned 09/20/2012
| Authorized Official | WOMACK, BRANDON (CEO) |
| NPI Enumeration Date | 09/20/2012 |
Other providers sharing the same authorized official: WOMACK, BRANDON
| Provider | City | State | Total Paid |
|---|---|---|---|
| ADVANCED DIAGNOSTIC SOLUTIONS INC | TRINITY | FL | $265.53 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 70 | $0.00 |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| 94762 | 70 | 67 | $0.00 |