NPI: 1861009052 · WEST JORDAN, UT 84088 · Durable Medical Equipment & Medical Supplies · NPI assigned 09/30/2020
| Authorized Official | GROSS, JONATHAN (MANAGER) |
| NPI Enumeration Date | 09/30/2020 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 39 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| E0784 | External ambulatory infusion pump, insulin | 39 | 39 | $2K |