Organization
GREEN LIFE DIAGNOSTICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PREETHAM PILLARISETTY (DIRECTOR)
(803) 673-6355
Entity
Organization
Contact information
Practice address
1903 WILLOW OAK LN, CEDAR KNOLLS, NJ 07927-1338
(803) 673-6355
(866) 201-1187
Mailing address
1903 WILLOW OAK LN, CEDAR KNOLLS, NJ 07927-1338
(803) 673-6355
(866) 201-1187
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
04/08/2010
Last updated
04/08/2010
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