Organization
PRIME RADIOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SURESH MODY MD (PRESIDENT)
(732) 212-0051
Entity
Organization
Contact information
Practice address
1036 AMBOY AVE, EDISON, NJ 08837-2870
(732) 225-2300
Mailing address
66 WEST GILBERT STREET, 2ND FLOOR, RED BANK, NJ 07701-4918
(732) 212-0051
(732) 212-0713
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
03/15/2011
Last updated
03/15/2011
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