Company
Screen this subjectAlpha Clinical Laboratory, LLC
Debarred entityUnited States. Named in 2 sanctions listings.
Summary
License number: PROMISe #102785090
Sanctions and listings2
- Effective
- 18 Oct 2016
Official designation
Department of Human ServicesUS Pennsylvania Medicheck listUnited StatesPrecluded
- Effective
- 18 Oct 2016
Official designation
MedicaidUS Delaware Medicaid Sanctioned ProvidersUnited States
REVOCATION Reporting Only-Active-Billing privileges revoked
Identifiers3
| Identifier | Number |
|---|---|
| ID number | 032532 (PA DOH) |
| NPI number | 1508089418 |
| Tax number | 208549688 |
Addresses1
(MD), (MD)
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