MEDICARE: HARDING RADIOLOGY CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0206X	Mammography Clinic/Center

General Provider Information

NPI Number	:	1518533934
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARDING RADIOLOGY CORPORATION

Provider Business Mailing Address
First Line	:	23 JULIA PL
Second Line	:
City	:	BUDD LAKE
State	:	NJ
Zip	:	07828-2461
Country	:	US
Telephone Number	:	803-673-6355
Fax Number	:	866-201-1187

Provider Business Practice Location Address
First Line	:	1201 MOUNT KEMBLE AVE
Second Line	:
City	:	MORRISTOWN
State	:	NJ
Zip	:	07960-6667
Country	:	US
Telephone Number	:	803-673-6355
Fax Number	:	866-201-1187

Authorized Official
Title or Position	:	CEO
Name	:	PREETHAM PILLARISETTY
Credential	:
Telephone Number	:	803-673-6355

Provider Enumeration Date	:	05/27/2021
Last Update Date	:	09/09/2024

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