Company

Alpha Clinical Laboratory, LLC

Debarred entity

United States. Named in 2 sanctions listings.

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Summary

License number: PROMISe #102785090

Sanctions and listings2

  • Effective
    18 Oct 2016

    Official designation

    Department of Human ServicesUS Pennsylvania Medicheck listUnited StatesPrecluded

    pa.gov

  • Effective
    18 Oct 2016

    Official designation

    MedicaidUS Delaware Medicaid Sanctioned ProvidersUnited States

    REVOCATION Reporting Only-Active-Billing privileges revoked

    medicaid.dhss.delaware.gov

Identifiers3

IdentifierNumber
ID number032532 (PA DOH)
NPI number1508089418
Tax number208549688

Addresses1

  • (MD), (MD)

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