Organization
KLS MANAGEMENT
Active
Other names
EAST COAST DIAGNOSTICS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEX SCHMIDT (OFFICE MANAGER)
(617) 739-1300
Entity
Organization
Contact information
Practice address
1842 BEACON ST, SUITE 401, BROOKLINE, MA 02445-1930
(617) 739-1300
(617) 739-5967
Mailing address
1842 BEACON ST, SUITE 401, BROOKLINE, MA 02445-1930
(617) 739-1300
(617) 739-5967
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
034469
BCBS
MA
01
—
5845531
AETNA
MA
01
—
611868
TUFTS
MA
01
—
974285
NETWORKHEALTH
MA
05
—
9780661
—
MA
01
—
P00191969
RAILROAD MEDICARE
MA
Enumeration date
03/29/2007
Last updated
08/22/2020
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