NPI 1316094584

American Diagnostic Lab., INC.

Organisation Rehabilitation Practitioner Jamaica Plain, MA

Practice location

Address: 12 Hyde Park Ave, Jamaica Plain, MA 02130-4103
Phone: (508) 984-5200
Fax: (508) 996-8614

Authorised official

Name: Elizabeth C Medeiros
Title: Manager
Phone: (508) 984-5200

Registered specialties

Rehabilitation Practitioner Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225400000X Licence 34550 (MA)

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Registry record

NPI: 1316094584
Entity type: Organization
NPI issued: 3 Jan 2007
Record last updated: 3 Jul 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.