# LIFEOLOGIEGRBOS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730011099
- **Authorized official:** SATVIK REDDY (OWNER)
- **Authorized official phone:** (781) 790-3945

## Contact information

- **Practice address:** 1280 CENTRE ST STE 5, NEWTON CENTER, MA 02459-1553
- **Practice address phone:** (781) 790-3945
- **Mailing address:** 8 CART PATH LN, LEXINGTON, MA 02421-8250
- **Mailing address phone:** (781) 790-3945

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/01/2026
- **Last updated:** 06/01/2026
