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Berkeley Prosthetic Laboratory LLC

NPI 1548660053ActiveOrganization· Dental Laboratory· Moncks Corner, SC

Dental Laboratory in Moncks Corner, South Carolina, registered in NPPES in September 2014. The authorized official on file is Eric Brandon Roberts, Lab Manager.

Overview

NPI1548660053
StatusActive
Entity typeOrganization
NPI issuedSep 3, 2014
Last updated in NPPESSep 3, 2014

Specialties and licenses

TaxonomyCodeLicenseState
Dental Laboratory Primary292200000X555SC

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