NPI: 1861700379 · JOHNSON CITY, TN 37604 · Customized Equipment (DME) · NPI assigned 09/17/2010
| Authorized Official | SALVATI, THOMAS (MANAGER) |
| NPI Enumeration Date | 09/17/2010 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 13 | $16K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S5165 | Home modifications; per service | 13 | 13 | $16K |