Prost Data Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

05D2022063 Issued in CA

Legal business name

PROST DATA INC

Practice address

875 Cowan Rd
Suite B
Burlingame, CA 94010-1204

Phone

(615) 874-0410

Fax

(615) 345-4653

NPI assigned

Apr 6, 2011

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

• OUR Lab Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jonathan Robert Oppenheimer, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Nashville, TN
  • NPI 1487813887
  NPD (past)

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

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357776000000",
    "number": "1881983336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 COWAN RD",
            "address_2": "SUITE B",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940101204",
            "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": "875 COWAN RD",
            "address_2": "SUITE B",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940101204",
            "telephone_number": "615-874-0410",
            "fax_number": "615-345-4653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROST DATA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-06",
        "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": "CA",
            "license": "05D2022063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "05D2022063",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OUR Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Premier Independence
• Primrose Healing and Wellness, Inc.
• Stephanie Michelle Pritchard
• Joanne Probert, NP
• Progressive Radiology Services
• Prost Data, Inc
• Maya Fan Protter, MSN, RN, FNP
• Psychicure PC
• Consuelo Puccetti
• Pulmonary Associates Burlingame Medical Corporation

• 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.