OrganizationActive
American Diagnostic Lab., Inc.
NPI 1316094584 · Rehabilitation Practitioner · Jamaica Plain, MA
Provider details
- NPI number
- 1316094584
- Entity type
- Organization
- Primary specialty
- Rehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Authorized official
- Elizabeth Medeiros, Manager
- License
- 34550 (MA)
Practice location
12 Hyde Park Ave
Jamaica Plain, MA 02130-4103
Phone: (508) 984-5200
Fax: (508) 996-8614
Mailing address
12 Hyde Park Ave
Jamaica Plain, MA 02130-4103
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.