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Organization

HEALWELL DME LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VENKATA LAKSHMI SIVA PRASAD EDUMUDI (PRESIDENT)
(551) 302-0310
Entity
Organization

Contact information

Practice address
69 W PALISADE AVE # 2B, ENGLEWOOD, NJ 07631-2611
(551) 302-0310
Mailing address
69 W PALISADE AVE # 2B, ENGLEWOOD, NJ 07631-2611
(551) 302-0310

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Enumeration date
08/05/2025
Last updated
08/05/2025
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