Organization
PANACEA DIAGNOSTIC SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PREETHAM PILLARISETTY (DIRECTOR)
(803) 673-6355
Entity
Organization
Contact information
Practice address
904 OAK TREE AVE, UNIT J, SOUTH PLAINFIELD, NJ 07080-5126
(803) 673-6355
(866) 201-1187
Mailing address
23 JULIA PL, BUDD LAKE, NJ 07828-2461
(803) 673-6355
(866) 201-1187
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
261QR0208X
Mobile Radiology Clinic/Center
—
—
Other
Enumeration date
07/24/2012
Last updated
12/21/2015
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