Organization Active NPI

Theranostix Inc.

  • Clinical Medical Laboratory
  • Brick, NJ
National Provider Identifier
1174991152
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
THERANOSTIX INC.
Practice address
2557 Hooper Ave
2ND Floor
Brick, NJ 08723-6238
Phone
(866) 357-0051
Fax
(301) 259-5781
NPI assigned
Sep 9, 2015
Last updated
Mar 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Authorized official

Name
Mr. Sathish Kothandaram
Title
Owner & C.E.O
Phone
(855) 420-8243

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

2557 Hooper Ave
2ND Floor
Brick, NJ 08723-6238

Mailing address

8000 Virginia Manor Rd
Suite 170
Beltsville, MD 20705-4211
Phone (855) 420-8243

National Provider Directory

National Provider Directory
Tax ID family
Theranostix Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1174991152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 VIRGINIA MANOR RD",
            "address_2": "SUITE 170",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207054211",
            "telephone_number": "855-420-8243",
            "fax_number": "301-259-5781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2557 HOOPER AVE",
            "address_2": "2ND FLOOR",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087236238",
            "telephone_number": "866-357-0051",
            "fax_number": "301-259-5781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERANOSTIX INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-09",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "KOTHANDARAM",
        "authorized_official_first_name": "SATHISH",
        "authorized_official_title_or_position": "OWNER & C.E.O",
        "authorized_official_telephone_number": "855-420-8243",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.