Organization
AMERICAN DIAGNOSTIC LAB., INC.
Active
Other names
Feel Well Rehab Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH C MEDEIROS (MANAGER)
(508) 984-5200
Entity
Organization
Contact information
Practice address
12 HYDE PARK AVE, JAMAICA PLAIN, MA 02130-4103
(508) 984-5200
(508) 996-8614
Mailing address
12 HYDE PARK AVE, JAMAICA PLAIN, MA 02130-4103
(508) 984-5200
(508) 996-8614
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
34550
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34994
NEIGHBORHOOD HEALTH
MA
01
—
AA61439
HARVARD PILGRIM
MA
Enumeration date
01/03/2007
Last updated
07/03/2008
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