International Technologies, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

INTERNATIONAL TECHNOLOGIES, LLC

Practice address

71 Franklin Tpke
Suite 1-3
Waldwick, NJ 07463-1851

Phone

(201) 857-3914

Fax

(201) 857-3916

NPI assigned

Sep 28, 2009

Organization subpart

No

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

Authorized official

Name

Sri Bharat Madireddy, PH.D.

Title

C.E.O.

Phone

(561) 249-4317

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• D/B/A NJ Reference Labs Doing business as

Locations

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

{
    "created_epoch": "1254096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481500800000",
    "number": "1447584149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 FRANKLIN TPKE",
            "address_2": "SUITE 1-3",
            "city": "WALDWICK",
            "state": "NJ",
            "postal_code": "074631851",
            "telephone_number": "201-857-3914",
            "fax_number": "201-857-3916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 FRANKLIN TPKE",
            "address_2": "SUITE 1-3",
            "city": "WALDWICK",
            "state": "NJ",
            "postal_code": "074631851",
            "telephone_number": "201-857-3914",
            "fax_number": "201-857-3916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNATIONAL TECHNOLOGIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-28",
        "last_updated": "2016-12-12",
        "status": "A",
        "authorized_official_last_name": "MADIREDDY",
        "authorized_official_first_name": "SRI",
        "authorized_official_middle_name": "BHARAT",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "561-249-4317",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "227812",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "31D2015409",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "D/B/A NJ Reference Labs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hudson Psychological Group
• Christine Hudson, PH.D.
• Hoyeon Hwang
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• Inner Wellness & Health LLC
• Nkechi Iwuanyanwu
• Siew Jackson
• David M Jacobs, D.C
• Mitul Jariwala
• Joan Jensen, OTR

• Clinical Medical Laboratory in Waldwick, NJ
• Providers in Waldwick, NJ by specialty
• Clinical Medical Laboratory in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; 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.