Provider Demographics
NPI:1689872202
Name:NEW ENGLAND LABSYSTEMS AND MOBILITY, INC.
Entity Type:Organization
Organization Name:NEW ENGLAND LABSYSTEMS AND MOBILITY, INC.
Other - Org Name:NELS MOBILITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:FRITZ
Authorized Official - Middle Name:
Authorized Official - Last Name:BOSQUET
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-733-6800
Mailing Address - Street 1:32 VAN BUREN AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01104-2544
Mailing Address - Country:US
Mailing Address - Phone:877-733-6800
Mailing Address - Fax:877-733-6801
Practice Address - Street 1:531 MAIN ST
Practice Address - Street 2:
Practice Address - City:INDIAN ORCHARD
Practice Address - State:MA
Practice Address - Zip Code:01151-1219
Practice Address - Country:US
Practice Address - Phone:877-733-6800
Practice Address - Fax:877-733-6801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-05
Last Update Date:2008-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA5913680001Medicare NSC