PREMIER DIAGNOSTIC IMAGING, LLC
Medical Laboratory at Mccallister Dr, Terre Haute, IN

License number
Indiana 15D1048961
Category
Medical Laboratory
Type
Clinical Medical Laboratory
Owner
Name: DR. JAYAPRAKASARAO KONIJETI MD
Title: OWNER
Phone: (812) 478-3900
Address
Address
135 E Mccallister Dr, Terre Haute, IN 47802
National Provider ID: 1982840179
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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