OIG exclusion detail
PRO MED ALLIANCE MEDICAL STAFF
This page shows an imported LEIE row. Verify details against the official OIG source before acting.
Imported OIG rowOfficial OIG source
- NPI
- 1790248557
- Name
- PRO MED ALLIANCE MEDICAL STAFF
- Address
- 4905 SW 319TH LN, APT D204, FEDERAL WAY, WA, 98023
- Specialty
- MANAGEMENT SVCS CO
- Exclusion type
- 1128a1
- Exclusion date
- 20250918
- Reinstatement date
- 00000000
- Waiver
- 00000000
Source snapshot
Imported: May 05, 2026
Rows: 83,001
Checksum: 3a10b8ee0e4691855f74ce65a5e733672474291f79ed1f7cef163328d945e9a7
Open matching NPI page