Provider Demographics
NPI:1699384735
Name:I SLASH TECHNOLOGIES LLC
Entity Type:Organization
Organization Name:I SLASH TECHNOLOGIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OPERATION
Authorized Official - Prefix:
Authorized Official - First Name:SUB
Authorized Official - Middle Name:MALE
Authorized Official - Last Name:DUTTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-690-7961
Mailing Address - Street 1:6504 MARKSTOWN DR APT D
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33617-9516
Mailing Address - Country:US
Mailing Address - Phone:754-715-0481
Mailing Address - Fax:
Practice Address - Street 1:6504 MARKSTOWN DR APT D
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33617-9516
Practice Address - Country:US
Practice Address - Phone:754-715-0481
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-24
Last Update Date:2020-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJN24296916552932OtherDL