NPI: 1922012608 · CHAMPAIGN, IL 61822 · Customized Equipment (DME) · NPI assigned 07/28/2006
| Authorized Official | PRINCE, JOHNNY (PRESIDENT OWNER) |
| NPI Enumeration Date | 07/28/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 28 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| E2402 | Negative pressure wound therapy electrical pump, stationary or portable | 28 | 13 | $7K |