Theranostix Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

THERANOSTIX INC

Practice address

8000 Virginia Manor Rd
Suite 170
Beltsville, MD 20705-4211

Phone

(862) 803-1079

Fax

(301) 259-5781

NPI assigned

Aug 23, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Sathish Kothandaram

Title

President & Ceo

Phone

(862) 803-1079

Specialties & licenses 1

Addresses

Other names 1

• P4 Diagnostix Other name

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Theranostix Inc

  • Clinical Medical Laboratory
  • Indianapolis, IN
  • NPI 1215208236

  1557362738

  Same PAC ID

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719878400000",
    "number": "1992812473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 VIRGINIA MANOR RD STE 170",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207054230",
            "telephone_number": "862-298-5960",
            "fax_number": "301-259-5781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 VIRGINIA MANOR RD",
            "address_2": "SUITE 170",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207054211",
            "telephone_number": "862-803-1079",
            "fax_number": "301-259-5781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5770 Decatur Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462419902",
            "country_code": "US",
            "telephone_number": "862-298-5960",
            "fax_number": "301-259-5781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THERANOSTIX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A",
        "authorized_official_last_name": "KOTHANDARAM",
        "authorized_official_first_name": "SATHISH",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "862-803-1079",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "P4 Diagnostix",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Clinical Medical Laboratory in Beltsville, MD
• Providers in Beltsville, MD by specialty
• Clinical Medical Laboratory in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.