Provider Demographics
NPI:1700420361
Name:RENALYTIX AI, INC.
Entity type:Organization
Organization Name:RENALYTIX AI, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCULLOUGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-203-2725
Mailing Address - Street 1:PO BOX 2460
Mailing Address - Street 2:
Mailing Address - City:CAROL STREAM
Mailing Address - State:IL
Mailing Address - Zip Code:60132-2460
Mailing Address - Country:US
Mailing Address - Phone:480-861-1383
Mailing Address - Fax:201-345-1291
Practice Address - Street 1:101 6TH AVE FL 3
Practice Address - Street 2:ROOM 324
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-1942
Practice Address - Country:US
Practice Address - Phone:646-397-3970
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-06
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory