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Smart Lab LLC

Debarred entity

Smart Lab LLC is an entity of interest. It has not been found on international sanctions lists.

Type	Company				[sources]
Name	SMART Lab LLC · Smart Lab LLC · Smart Lab, LLC				[sources]
Incorporation date	not available				[sources]
Jurisdiction	not available				[sources]
Country	United States				[sources]
Description	License number: 10D2092502 (CLIA)				[sources]
ID Number	`800027631 (FL)`				[sources]
NPI	`1770980062`				[sources]
Registration number	not available				[sources]
Sector	Laboratory · Non-Hospital connected lab				[sources]
Tax Number	`465502455`				[sources]
Address	(FL), (FL) · 10385 Ironwood Rd, Suite 130, Plam Beach Gardens, FL 33410 · Palm Beach Gardens FL, MI				[sources]
Last change	2024-11-29	Last processed	2024-12-02	First seen	2024-09-04

Relationships

Address
Full address	Country
(FL), (FL) · (FL.), (FL.) · FL, FL	United States

Linked from
Subject	Role	Start date	End date
Ethan H. Hamilton Justin Wayne Wayne Wayne	-	-	-

Sanctions
Authority	Program	Start date	End date
Maryland Department of Health	-	2019-06-26	-
Nebraska Department of Health and Human Services	-	2019-07-27	-
Department of Human Services	-	2019-04-29	-
New Hampshire Department of Health & Human Services	-	2019-02-07	-
Michigan Department of Health & Human Services	-	2019-01-08	-

Data sources

US Pennsylvania Medicheck list5,927

Medical providers who are precluded from participation in the Medical Assistance Program

United States · DHS

US Michigan Medicaid Sanctioned Provider List3,661

Providers who have been terminated for cause from Michigan's Medicaid program.

United States · MDHHS

US Maryland Sanctioned Providers1,556

Medical providers deemed ineligible to participate in Maryland's Medicaid program.

United States · MDH

US New Hampshire Medicaid Exclusion and Sanction List69

Providers who have been terminated for cause from New Hampshire's Medicaid program.

United States · DHHS

US Nebraska Medicaid Sanctioned Providers1,203

Medical providers sanctioned by Nebraska State's Medicaid program.

United States · DHHS

Source data IDs: NK-33goLnfPxwRacWdmfK2GjD · us-medmd-966d73da153910f5dae04644366cc8486f6826af · us-medmi-a808fcfa8d7341f1768346b4fe7392f28d435e29 · us-mednh-9b7e0d51c71e4fcaabdcda1b4129f02e95951cd1 · us-medne-023ecf2bae34e6311301646741b7c9b497e3b9e8 · us-medpa-c4937ed686a4ba259b68d64dfb07301990ec48ee

For experts: raw data explorer

Factsheet Data sources

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