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CITILAB LLC SOS Verified

Clinical Medical Laboratory · HENDERSON, NV

2440 W HORIZON RIDGE PKWY SUITE # 130, HENDERSON, NV 89052

NPI Number
1942575386
Street View of 2440 W HORIZON RIDGE PKWY SUITE # 130, HENDERSON, NV 89052

Practice location · View on Google Maps

SOS Verification: Verified
Entity Name: Citi Med
Entity Number: E31704912023-3
Entity Type: Domestic Corporation
Entity Status: Active
Formation Date: 2023-05-02
Status Changed: 2023-05-02
Name Match: 80%
Registered Agent
Name: Alejandra Avila Balsa
Type: Non-Commercial Registered Agent
Address: 8815 Hickam Ave, Las vegas, NV, 89129
Mailing: 8815 Hickam Ave, Las vegas, NV
Officers / Principals
TitleNameAddressStatus
PresidentAlejandra Avila Balsa5440 W. Sahara Avenue, Suite 202, Las Vegas, NVActive

Payments by Year

How much Medicaid paid this provider each year. Large jumps can indicate changes in practice volume or billing patterns.

Year Total Paid % of Max
2018$0
2019$0
2020$0

Procedure Code Breakdown

The specific medical services this provider billed Medicaid for. Each HCPCS/CPT code represents a different type of visit, test, or treatment.

HCPCS Code Description Claims Paid % of Total Avg per Claim
85610Prothrombin time (PT) — blood clotting test20$0
0.0%
$0
82728Blood chemistry test (checking specific substances in your blood)58$0
0.0%
$0
83735Blood chemistry test (checking specific substances in your blood)79$0
0.0%
$0
84550Blood chemistry test (checking specific substances in your blood)1,114$0
0.0%
$0
87086Urine culture — checking for a urinary tract infection990$0
0.0%
$0
84443Thyroid function test (TSH)2,030$0
0.0%
$0
87077Culture test — checking for specific bacteria43$0
0.0%
$0
85025Complete blood count (CBC) — checks red cells, white cells, and platelets2,060$0
0.0%
$0
82306Vitamin D blood test1,478$0
0.0%
$0
82607Blood chemistry test (checking specific substances in your blood)717$0
0.0%
$0
81003Urinalysis — automated test13$0
0.0%
$0
81001Urinalysis — checking your pee for infections or health problems (with microscope)1,210$0
0.0%
$0
83550Iron binding capacity test74$0
0.0%
$0
G0103Prostate cancer screening; prostate specific antigen test (psa)41$0
0.0%
$0
80061Cholesterol and lipid panel blood test2,108$0
0.0%
$0
P9603Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled2,190$0
0.0%
$0
87184Microbiology test — checking for infections (bacteria, viruses, fungi)55$0
0.0%
$0
80053Comprehensive metabolic panel blood test (checks liver, kidney, blood sugar, electrolytes)2,282$0
0.0%
$0
80048Basic metabolic panel blood test (checks kidney function, blood sugar, electrolytes)30$0
0.0%
$0
84439Blood chemistry test (checking specific substances in your blood)419$0
0.0%
$0
83540Iron blood test75$0
0.0%
$0
82746Blood chemistry test (checking specific substances in your blood)87$0
0.0%
$0
P9604Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge850$0
0.0%
$0
84436Blood chemistry test (checking specific substances in your blood)34$0
0.0%
$0
83036Hemoglobin A1c test (shows average blood sugar over 3 months — used for diabetes)1,855$0
0.0%
$0
87088Microbiology test — checking for infections (bacteria, viruses, fungi)22$0
0.0%
$0
36415Drawing blood from a vein (routine blood draw)3,109$0
0.0%
$0
85027Complete blood count — automated230$0
0.0%
$0
84481Blood chemistry test (checking specific substances in your blood)237$0
0.0%
$0