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NPI Code Detail

MEDICARE: THERANOSTIX INC

MEDICARE: THERANOSTIX INC
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1291U00000XClinical Medical Laboratory

General Provider Information

NPI Number : 1215208236
Entity Type Code : Organization
Provider Name (Legal Business Name) : THERANOSTIX INC
Provider Business Mailing Address
First Line : 5770 DECATUR BLVD
Second Line : SUITE A
City : INDIANAPOLIS
State : IN
Zip : 46241-9561
Country : US
Telephone Number : 317-455-2100
Fax Number : 317-455-2150
Provider Business Practice Location Address
First Line : 5770 DECATUR BLVD
Second Line : SUITE A
City : INDIANAPOLIS
State : IN
Zip : 46241-9561
Country : US
Telephone Number : 317-455-2100
Fax Number : 317-455-2150
Authorized Official
Title or Position : CEO
Name : SATHISH KOTHANDARAM
Credential :
Telephone Number : 855-420-8243
Provider Enumeration Date : 01/23/2012
Last Update Date : 03/26/2024

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Directions to “THERANOSTIX INC ” Practice Location

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