NPIMap

Organization Active NPI

Theranostics Health Inc.

  • Clinical Medical Laboratory
  • Rockville, MD
National Provider Identifier
1922424969
Registry record updated Mar 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
52868 Issued in MD
Legal business name
THERANOSTICS HEALTH INC.
Practice address
15010 Broschart Rd
Suite 200
Rockville, MD 20850-6365
Phone
(301) 251-4443
Fax
(301) 251-4446
NPI assigned
Mar 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2014

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

Authorized official

Name
Dr. Ronald Stephen Hencin, PH.D.
Title
VP Business Development
Phone
(301) 251-4443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 52868 MD Primary

Addresses

Primary practice location

15010 Broschart Rd
Suite 200
Rockville, MD 20850-6365

Mailing address

15010 Broschart Rd
Suite 200
Rockville, MD 20850-6365
Phone (301) 251-4443

Other identifiers 3

IdentifierTypeStateIssuer
8006327OtherMDLAP - COLLEGE OF AMERICAN PATHOLOOGISTS (CAP)
21D1084125OtherMDCLIA
1618045OtherMDAU ID - COLLEGE OF AMERICAN PATHOLOGISTS (CAP)

National Provider Directory

National Provider Directory

Locations

15010 Broschart Rd
Ste 200
Rockville, MD 20850
Phone (301) 251-4443

NPI Registry JSON

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

{
    "created_epoch": "1394755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394755200000",
    "number": "1922424969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15010 BROSCHART RD",
            "address_2": "SUITE 200",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506365",
            "telephone_number": "301-251-4443",
            "fax_number": "301-251-4446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15010 BROSCHART RD",
            "address_2": "SUITE 200",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506365",
            "telephone_number": "301-251-4443",
            "fax_number": "301-251-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERANOSTICS HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-14",
        "last_updated": "2014-03-14",
        "status": "A",
        "authorized_official_last_name": "HENCIN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "VP BUSINESS DEVELOPMENT",
        "authorized_official_telephone_number": "301-251-4443",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MD",
            "license": "52868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LAP - COLLEGE OF AMERICAN PATHOLOOGISTS (CAP)",
            "identifier": "8006327",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "21D1084125",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AU ID - COLLEGE OF AMERICAN PATHOLOGISTS (CAP)",
            "identifier": "1618045",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2014; 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.