MEDICARE: DGX SECURITY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251K00000X	Public Health or Welfare Agency
2	333300000X	Emergency Response System Companies
3	171W00000X	Contractor

General Provider Information

NPI Number	:	1528700028
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DGX SECURITY LLC

Provider Business Mailing Address
First Line	:	840 BERGEN AVE
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07306-4507
Country	:	US
Telephone Number	:	201-370-4761
Fax Number	:

Provider Business Practice Location Address
First Line	:	840 BERGEN AVE
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07306-4507
Country	:	US
Telephone Number	:	201-370-4761
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	BRYANT AUSTIN
Credential	:
Telephone Number	:	201-370-4761

Provider Enumeration Date	:	04/13/2022
Last Update Date	:	04/13/2022

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Directions to “DGX SECURITY LLC ” Practice Location

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