MyLab Diagnostics LLC
Debarred entityUnited States. Named in 4 sanctions listings.
Summary
KMAP Provider Number 20111220A
Sanctions and listings4
- Effective
- 17 Aug 2019
Official designation
South Carolina Department of Health and Human ServicesUS South Carolina Excluded ProvidersUnited StatesTerminated for cause
- Effective
- 3 Jul 2019
Official designation
Kansas Department of Health and EnvironmentUS Kansas Medicaid Terminated Provider ListUnited States
Terminated under a separate Medicaid enrollment.
- Effective
- 3 Jul 2019
Official designation
Louisiana Department of HealthUS Louisiana Department of Health Adverse Actions ListUnited States
42 CFR 455.416(c)
- Effective
- 10 Nov 2018
Official designation
Missouri Medicaid Audit & ComplianceUS Missouri Medicaid Provider TerminationsUnited States
BAD DEBT
Identifiers1
| Identifier | Number |
|---|---|
| NPI number | 1063750842 |
Other names2
Also known as2
Addresses1
Ballwin, MO 6301
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