NPI: 1932498730 · TRINITY, FL 34655 · Physiological Laboratory · NPI assigned 04/01/2011
| Authorized Official | WOMACK, BRANDON (CEO) |
| NPI Enumeration Date | 04/01/2011 |
Other providers sharing the same authorized official: WOMACK, BRANDON
| Provider | City | State | Total Paid |
|---|---|---|---|
| ADVANCED DIAGNOSTIC SOLUTIONS INC. | SAN MATEO | CA | $0.00 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 74 | $93.29 |
| 2021 | 133 | $172.24 |