NPI: 1730443094 · DOUGLASVILLE, GA 30134 · Clinical Medical Laboratory · NPI assigned 07/01/2012
| Authorized Official | ISMAIL, SYED (CEO) |
| NPI Enumeration Date | 07/01/2012 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 60 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| L0651 | Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces intracavitary pressure to reduce load on the intervertebral discs, overall strength is provided by overlapping rigid material and stabilizing closures, includes straps, closures, may include soft interface, pendulous abdomen design, prefabricated, off-the-shelf | 26 | 25 | $1K |
| A4239 | Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service | 17 | 17 | $799.54 |
| E2103 | Non-adjunctive, non-implanted continuous glucose monitor or receiver | 17 | 17 | $264.07 |