ACTIVE LIFESTYLE MEDICAL SUPPLY LLC
NPI: 1922594498
· UNIONTOWN, OH 44685
· Durable Medical Equipment & Medical Supplies
· NPI assigned 07/07/2018
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | CASADY, RYAN (CEO) |
| NPI Enumeration Date | 07/07/2018 |
Related Entities
Other providers sharing the same authorized official: CASADY, RYAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
16 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K0553 |
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
16 |
16 |
$0.00 |