Diamedix Healthcare LLC
Debarred entityUnited States. Named in 5 sanctions listings.
Summary
KMAP Provider Number 200612160A
Sanctions and listings5
- Effective
- 14 Nov 2016
Official designation
South Carolina Department of Health and Human ServicesUS South Carolina Excluded ProvidersUnited StatesTerminated for cause
- Effective
- 30 Jul 2019
Official designation
Louisiana Department of HealthUS Louisiana Department of Health Adverse Actions ListUnited States
42 CFR 455.416(c)
- Effective
- 29 Apr 2019
Official designation
Kansas Department of Health and EnvironmentUS Kansas Medicaid Terminated Provider ListUnited States
Loss of license or other State action.
- Effective
- 20 Nov 2015
Official designation
New Jersey Office of the State ComptrollerUS New Jersey Ineligible Medicaid ProvidersUnited States
DISQUALIFICATION
- Effective
- 30 Sep 2014
Official designation
Department of Human ServicesUS Pennsylvania Medicheck listUnited StatesPrecluded
Identifiers3
| Identifier | Number |
|---|---|
| ID number | DO7211000 |
| NPI number | 1396744694 |
| Tax number | 200568725 |
Other names5
Also known as5
Addresses4
(VA), (VA)
Glen Allen, VA 23060
4860 COX ROAD, SUITE 300, GLEN ALLEN, VA 23060
VA, VA
United States
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