Organization
PROST DATA, INC
Active
Other names
OURLab
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA FEINBERG (VP OF OPERATIONS)
(615) 874-0410
Entity
Organization
Contact information
Practice address
863 MITTEN RD STE C, BURLINGAME, CA 94010-1311
(615) 874-0410
(615) 345-4653
Mailing address
1450 ELM HILL PIKE, NASHVILLE, TN 37210-4531
(615) 874-0410
(615) 345-4653
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D1099957
CLIA
CA
Enumeration date
07/08/2009
Last updated
01/10/2013
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