Innovative Genomics LLC
Debarred entityUnited States. Named in 7 sanctions listings.
Summary
License number: N/A
Sanctions and listings7
- Effective
- 18 Dec 2025
Official designation
South Carolina Department of Health and Human ServicesUS South Carolina Excluded ProvidersUnited StatesTerminated for cause
- Effective
- 25 Feb 2025
- Ended
- 20 Feb 2026
Official designation
Pennsylvania Department of Human ServicesUS Delaware Medicaid Sanctioned ProvidersUnited States
- Effective
- 6 Dec 2025
Official designation
Missouri Medicaid Audit & ComplianceUS Missouri Medicaid Provider TerminationsUnited States
OTHER STATE MEDICARE TERMINATION
- Effective
- 8 Jun 2024
Official designation
Louisiana Department of HealthUS Louisiana Department of Health Adverse Actions ListUnited States
LA R.S. 46:437.11(D)(2)
- Effective
- 25 Feb 2025
Official designation
Kentucky Department for Medicaid ServicesUS Kentucky Terminated and Excluded ProvidersUnited States
Violation of KMAP Policy
- Effective
- 25 Feb 2025
Official designation
Department of Human ServicesUS Pennsylvania Medicheck listUnited StatesPrecluded
- Effective
- 25 Feb 2025
- Ended
- 25 Feb 2035
Official designation
Pennsylvania Department of Human ServicesUS Delaware Medicaid Sanctioned ProvidersUnited States
Identifiers2
| Identifier | Number |
|---|---|
| NPI number | 1629531769 |
| Tax number | 820934837 |
Other names1
Also known as1
Addresses2
(TX), (TX)
San Antonio, TX 78229
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