BLACK WATER LAB LLC
Clinical Medical Laboratory · MONROE, LA
Organization Active NPI 1366907701
Medicare payment data Part B · 2022
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2022 | 47 | 102 | $7,650 | $5,092 | $5,092 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | ✓ | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.