Liberty Brothers Inc
NPI 1902175409ActiveOrganization· Physiological Laboratory· Sherman Oaks, CA
Physiological Laboratory in Sherman Oaks, California, registered in NPPES in December 2011. The authorized official on file is Ida Liberzon, RDMS, Prseident. Medicare paid $373,728 for services to 747 patients in 2024.
Overview
| NPI | 1902175409 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 29, 2011 |
| Last updated in NPPES | Dec 29, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physiological Laboratory Primary | 293D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Independent Diagnostic Testing Facility (Idtf) (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 747 |
|---|---|
| Services billed | 2,344 across 16 procedure codes |
| Paid by Medicare | $373,728 |
Other Physiological Laboratory providers in Sherman Oaks
- 1649316449
- 1003135674
- 1073721502
- 1841266459
- 1457399172
- 1669526703