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Organization

ORTHOTICS & PROSTHETICS LABORATORIES, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
IVAN SABEL (CEO)
(413) 737-2404
Entity
Organization

Contact information

Practice address
3500 MAIN ST STE 101, SPRINGFIELD, MA 01107-1150
(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
222Z00000X
Orthotist
224P00000X
Prosthetist
332B00000X
Durable Medical Equipment & Medical Supplies
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000006888
BMC HEALTHNET PLAN
01
0008938
NEIGHBORHOOD HEALTH PLAN
05
1009994
VT
01
102318400
US DEPT OF LABOR
01
15121
HEALTH NEW ENGLAND
05
1540408
MA
05
3048436
CT
01
360154
BCBS
MA
01
43871
FALLAN HEALTHCARE
01
475460
CIGNA
01
553174
AETNA
01
65955037
VETERANS ADMINISTRATORS
01
701312
HARVARD PILGRIM HEALTHCAR
01
734427
CONNECTICARE
01
803119
TUFTS HEALTH PLAN
01
833821
MVP HEALTH PLAN
01
S009509
TRICARE
Enumeration date
10/31/2005
Last updated
05/12/2026
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