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Prison Rehabilitative Industries & Diversified Enterprises

NPI 1275834129ActiveOrganization· Dental Laboratory· St. Petersburg, FL

Dental Laboratory in St. Petersburg, Florida, registered in NPPES in November 2010. The authorized official on file is Denise Kiminki, Assistant Secretary To The Board.

Overview

NPI1275834129
StatusActive
Entity typeOrganization
NPI issuedNov 9, 2010
Last updated in NPPESNov 9, 2010

Specialties and licenses

TaxonomyCodeLicenseState
Dental Laboratory Primary292200000X—FL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years