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| Type | Company | [sources] | |||
|---|---|---|---|---|---|
| Name | Prost Data, Inc · Prost Data, Inc. | [sources] | |||
| Other name | Out Lab | [sources] | |||
| Incorporation date | not available | [sources] | |||
| Jurisdiction | not available | [sources] | |||
| Country | United States of America | [sources] | |||
| ID Number | PROMISe# 100906848 | [sources] | |||
| NPI | 1881983336 | [sources] | |||
| Registration number | not available | [sources] | |||
| Sector | 291U00000X | [sources] | |||
| Tax Number | 731508813 | [sources] | |||
| Address | (TN), (TN) | [sources] | |||
| Last change | Last processed | First seen | |||
| Sanctions | |||||
|---|---|---|---|---|---|
| Country | Authority | Program | Start date | End date | |
| United States of America | Department of Human Services | - | - | ||
| United States of America | Pennsylvania Department of Human services | - | - | ||
| Address | ||
|---|---|---|
| Full address | Country | |
| (TN), (TN) · TN, TN | United States of America | |
List of providers excluded from participating in the Delaware Medicaid program.
United States of America · DHSS
Medical providers who are precluded from participation in the Medical Assistance Program
United States of America · DHS
us-medde-06b417f76e0515e39676ff024b316214cc80fb5d · us-medpa-b24f359ff2e932a5eaf5342c1edff7ab1ce8346eFor experts: raw data explorer
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