OrganizationActive
American Diagnsotic Lab., Inc
NPI 1003963273 · Rehabilitation Practitioner · Brockton, MA
Provider details
- NPI number
- 1003963273
- Entity type
- Organization
- Primary specialty
- Rehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Authorized official
- Elizabeth Medeiros, Manager
- License
- 34550 (MA)
Practice location
144 Main St
Brockton, MA 02301-4046
Phone: (508) 984-5200
Fax: (508) 996-8614
Mailing address
144 Main St
Brockton, MA 02301-4046
Registry dates
- Enumerated
- 2007-01-03
- Last updated
- 2008-07-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.