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Canonical ID: NK-RwgNz4M5LnKMipCEgm7AqX · Entity type: LegalEntity (reference)
| Property | Value | Lang | Source dataset | Source ID | First seen | ||
|---|---|---|---|---|---|---|---|
Organization:address | 2431 LAKEWAY DRIVE, SUITE A1, RUSSELL SPRINGS, KY 42642 | ext_us_cms_npi | us-npi-1801106620 | ||||
LegalEntity:address | 2431 Lakway Drive, Ste 17-A , Russell Springs, KY 42642 | eng | us_ms_med_exclusions | us-medms-2c65c09c31bf00036fedce0bbc08ef763bac57e1 | |||
Organization:address | PO BOX 1240, RUSSELL SPRINGS, KY 426421240 | ext_us_cms_npi | us-npi-1801106620 | ||||
LegalEntity:country | us | us_ms_med_exclusions | us-medms-2c65c09c31bf00036fedce0bbc08ef763bac57e1 | ||||
Organization:country | us | ext_us_cms_npi | us-npi-1801106620 | ||||
Organization:id | 4327f4ccf6408c46ed0762c493d49286be6921f0 | ext_us_cms_npi | us-npi-1801106620 | ||||
LegalEntity:id | 3a11a68d7109bf43bb11db3db62e1fd7e6b1b8b2 | us_ms_med_exclusions | us-medms-2c65c09c31bf00036fedce0bbc08ef763bac57e1 | ||||
Organization:name | PREMIERTOX, INC. | ext_us_cms_npi | us-npi-1801106620 | ||||
LegalEntity:name | Premiertox Inc. | eng | us_ms_med_exclusions | us-medms-2c65c09c31bf00036fedce0bbc08ef763bac57e1 | |||
LegalEntity:npiCode | 1801106620 | eng | us_ms_med_exclusions | us-medms-2c65c09c31bf00036fedce0bbc08ef763bac57e1 | |||
Organization:npiCode | 1801106620 | ext_us_cms_npi | us-npi-1801106620 | ||||
LegalEntity:sector | Independent Lab | eng | us_ms_med_exclusions | us-medms-2c65c09c31bf00036fedce0bbc08ef763bac57e1 | |||
LegalEntity:topics | debarment | us_ms_med_exclusions | us-medms-2c65c09c31bf00036fedce0bbc08ef763bac57e1 | ||||