Organization
ORTHOTICS & PROSTHETICS LABORATORIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES HAAS CO (PRESIDENT)
(413) 737-2404
Entity
Organization
Contact information
Practice address
3500 MAIN ST STE 101, SPRINGFIELD, MA 01107-1148
(413) 737-2404
(413) 733-1389
Mailing address
3500 MAIN ST STE 101, SPRINGFIELD, MA 01107-1150
(413) 737-2404
(413) 733-1389
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1540408
—
MA
01
—
360154
BCBS
MA
01
—
43871
FALLON
—
Enumeration date
01/08/2018
Last updated
04/04/2024
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