Prost Data, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PROST DATA, INC

Doing business as

OURLab

Practice address

863 Mitten Rd Ste C
Burlingame, CA 94010-1311

Phone

(615) 874-0410

Fax

(615) 345-4653

NPI assigned

Jul 8, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tanya Feinberg

Title

VP of Operations

Phone

(615) 874-0410

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• OURLab Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357776000000",
    "number": "1386873693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 ELM HILL PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372104531",
            "telephone_number": "615-874-0410",
            "fax_number": "615-345-4653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "863 MITTEN RD STE C",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940101311",
            "telephone_number": "615-874-0410",
            "fax_number": "615-345-4653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROST DATA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-08",
        "last_updated": "2013-01-10",
        "status": "A",
        "authorized_official_last_name": "FEINBERG",
        "authorized_official_first_name": "TANYA",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "615-874-0410"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "05D1099957",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OURLab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Prost Data Inc (OUR Lab)
• Maya Fan Protter, MSN, RN, FNP
• Psychicure PC
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• Pulmonary Associates Burlingame Medical Corporation
• Puwra

• Clinical Medical Laboratory in Burlingame, CA
• Providers in Burlingame, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.