Provider Demographics
NPI:1083207708
Name:HITECH ANALYTICAL AND DIAGNOSTIC SOLUTIONS
Entity Type:Organization
Organization Name:HITECH ANALYTICAL AND DIAGNOSTIC SOLUTIONS
Other - Org Name:HADS
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:REYAZ
Authorized Official - Middle Name:
Authorized Official - Last Name:KANGO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:301-922-3029
Mailing Address - Street 1:409 NATURE LN
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-7767
Mailing Address - Country:US
Mailing Address - Phone:301-922-3029
Mailing Address - Fax:
Practice Address - Street 1:17B FIRSTFIELD RD STE 207
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20878-1784
Practice Address - Country:US
Practice Address - Phone:301-770-2448
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-12
Last Update Date:2021-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory