Green Life Diagnostics, Inc.

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

Legal business name

GREEN LIFE DIAGNOSTICS, INC.

Practice address

1903 Willow Oak LN
Cedar Knolls, NJ 07927-1338

Phone

(803) 673-6355

Fax

(866) 201-1187

NPI assigned

Apr 8, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Preetham Pillarisetty

Title

Director

Phone

(803) 673-6355

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1270684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270684800000",
    "number": "1669798260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 WILLOW OAK LN",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079271338",
            "telephone_number": "803-673-6355",
            "fax_number": "866-201-1187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 WILLOW OAK LN",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079271338",
            "telephone_number": "803-673-6355",
            "fax_number": "866-201-1187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN LIFE DIAGNOSTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-08",
        "last_updated": "2010-04-08",
        "status": "A",
        "authorized_official_last_name": "PILLARISETTY",
        "authorized_official_first_name": "PREETHAM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "803-673-6355",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Goldberg
• Jonathan L Goodman, D.O.
• Joan Mary Gopin, MD
• Donatella B Graffino, MD
• Greater Morristown Eye Care & Wear, LLC
• Lorraine Green, RPH, PHARMD
• Teaira Greene
• Lauren Elizabeth Greenfield, LPC
• Amie Gresack, AU.D.
• Kevin Patrick Guenther, DPT

• Mobile Radiology Clinic/Center in Cedar Knolls, NJ
• Providers in Cedar Knolls, NJ by specialty
• Mobile Radiology Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.