Organization
GALAXY MOBILE DIAGNOSTICS SERVICES LLC
Active
Other names
IMAGEDX, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER GUDAITIS (PRESIDENT)
(718) 789-1818
Entity
Organization
Contact information
Practice address
2 KENNEDY BLVD, 2ND FLOOR, EAST BRUNSWICK, NJ 08816-1248
(201) 426-0220
(732) 839-9012
Mailing address
2 KENNEDY BLVD, 2ND FLOOR, EAST BRUNSWICK, NJ 08816-1248
(201) 426-0220
(732) 839-9012
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0427055
—
NJ
Enumeration date
04/10/2015
Last updated
11/09/2021
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