Healthcare Provider Details

I. General information

NPI: 1528700028
Provider Name (Legal Business Name): DGX SECURITY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2022
Last Update Date: 04/13/2022
Certification Date: 04/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

840 BERGEN AVE
JERSEY CITY NJ
07306-4507
US

IV. Provider business mailing address

840 BERGEN AVE
JERSEY CITY NJ
07306-4507
US

V. Phone/Fax

Practice location:
  • Phone: 201-370-4761
  • Fax:
Mailing address:
  • Phone: 201-370-4761
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code333300000X
TaxonomyEmergency Response System Companies
License Number
License Number State

VIII. Authorized Official

Name: BRYANT AUSTIN
Title or Position: MANAGING MEMBER
Credential:
Phone: 201-370-4761