Healthcare Provider Details

I. General information

NPI: 1710894118
Provider Name (Legal Business Name): SHLEMANOV INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

234 RUSSELL ST STE 204
HADLEY MA
01035-3534
US

IV. Provider business mailing address

49 MORNINGSIDE CIR
FEEDING HILLS MA
01030-1656
US

V. Phone/Fax

Practice location:
  • Phone: 413-387-0022
  • Fax: 413-674-0001
Mailing address:
  • Phone: 413-387-0022
  • Fax: 413-674-0001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code293D00000X
TaxonomyPhysiological Laboratory
License Number
License Number State

VIII. Authorized Official

Name: DMITRIY SHLEMANOV
Title or Position: PRESIDENT
Credential:
Phone: 413-387-0022