Fast Lab Technologies, LLC

Debarred entity

United States. Named in 10 sanctions listings.

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Summary

License number: 33D2246922

License number: E798

KMAP Provider Number 30004891050001

Sanctions and listings10

Effective
9 Feb 2025
Official designation
Louisiana Department of HealthUS Louisiana Department of Health Adverse Actions ListUnited States
CMS Revocation
adverseactions.ldh.la.gov
Effective
7 Mar 2025
Official designation
Michigan Department of Health & Human ServicesUS Michigan Medicaid Sanctioned Provider ListUnited States
michigan.gov
Effective
2 Jan 2025
Official designation
Department of Human ServicesUS Pennsylvania Medicheck listUnited StatesPrecluded
pa.gov
Effective
19 Nov 2024
Official designation
South Carolina Department of Health and Human ServicesUS South Carolina Excluded ProvidersUnited StatesTerminated for cause
scdhhs.gov
Effective
3 Jan 2025
Official designation
Indiana Family and Social Services AdministrationUS Indiana Medicaid Terminated Provider ListUnited States
in.gov
Effective
2 Jan 2025
Official designation
Pennsylvania Department of Human ServicesUS Delaware Medicaid Sanctioned ProvidersUnited States
medicaid.dhss.delaware.gov
Effective
2 Jan 2025
Official designation
Kentucky Department for Medicaid ServicesUS Kentucky Terminated and Excluded ProvidersUnited States
Violation of KMAP Policy
chfs.ky.gov
Effective
13 Feb 2025
Official designation
Missouri Medicaid Audit & ComplianceUS Missouri Medicaid Provider TerminationsUnited States
CMS REVOCATION
mmac.mo.gov
Effective
13 Feb 2025
Official designation
Nevada Department of Health and Human Services Division of Health Care Financing and PolicyUS Nevada Medicaid SanctionsUnited States
Tier: 1
dhcfp.nv.gov
Effective
19 Nov 2024
Official designation
Kansas Department of Health and EnvironmentUS Kansas Medicaid Terminated Provider ListUnited States
Terminated under a separate Medicaid enrollment.
kdhe.ks.gov

Connections2

Owned by1

Cemhan BiricikDebarred
Share not stated
Persons with controlling interest of 5% or moreUnited States

Identifiers2

Identifier	Number
NPI number	1154089241
Tax number	872642408

Other names2

Also known as2

Fast Lab Technologies LLCFast Lab Technologies

Addresses4

Brooklyn, NY, MI
(NY), (NY)
New York, NY 10001
New York, NY

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