Organization Active NPI

Renalytix Ai, Inc.

  • Clinical Medical Laboratory
  • Long Island City, NY
National Provider Identifier
1700420361
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
RENALYTIX AI, INC.
Practice address
30-02 48TH Ave.
Suite 150
Long Island City, NY 11101-3432
Phone
(646) 397-3970
NPI assigned
Nov 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Authorized official

Name
James McCullough
Title
Ceo
Phone
(888) 203-2725

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

30-02 48TH Ave.
Suite 150
Long Island City, NY 11101-3432

Mailing address

PO Box 2460
Carol Stream, IL 60132-2460
Phone (480) 861-1383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200909001750 NY Part B Supplier - Independent Clinical Laboratory 6002244373 Practice locations: Long Island City, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2156875Renalytix Ai, Inc30-02 48TH Ave Suite 150, Long Island City, NY 11101ComplianceMar 26, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1615 Pasadena Ave S
Ste 250
South Pasadena, FL 33707
Phone (727) 381-7727

3002 48th Ave
Ste 150
Long Island City, NY 11101

421 S Wakara Way
Ste 309
Salt Lake Cty, UT 84108
Phone (646) 397-3970

NPI Registry JSON

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

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785456000000",
    "number": "1700420361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2460",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601322460",
            "telephone_number": "480-861-1383",
            "fax_number": "201-345-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30-02 48TH AVE.",
            "address_2": "SUITE 150",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111013432",
            "telephone_number": "646-397-3970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENALYTIX AI, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-06",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A",
        "authorized_official_last_name": "MCCULLOUGH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "888-203-2725"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Island City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.