Organization
AMERICAN DIAGNOSTIC LAB., INC.
Active
Other names
American Othotic & Brace Co.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GOPE GIDWANI (PRESIDENT)
(508) 984-5200
Entity
Organization
Contact information
Practice address
92 GRAPE ST # 2A, NEW BEDFORD, MA 02740-2143
(508) 984-5200
(508) 819-4998
Mailing address
92 GRAPE ST # 2A, NEW BEDFORD, MA 02740-2143
(508) 984-5200
(508) 819-4998
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
NOT REQUIRED
MA
Other
Enumeration date
09/11/2014
Last updated
09/11/2014
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