MEDICARE: GENERAL HEALTH SERVICES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician

General Provider Information

NPI Number	:	1275515140
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GENERAL HEALTH SERVICES, INC.

Provider Business Mailing Address
First Line	:	477 BEAR HILL RD
Second Line	:
City	:	NORTH ANDOVER
State	:	MA
Zip	:	01845-2116
Country	:	US
Telephone Number	:	978-658-5577
Fax Number	:	978-658-5587

Provider Business Practice Location Address
First Line	:	477 BEAR HILL RD
Second Line	:
City	:	NORTH ANDOVER
State	:	MA
Zip	:	01845-2116
Country	:	US
Telephone Number	:	978-658-5577
Fax Number	:	978-658-5587

Authorized Official
Title or Position	:	PRESIDENT
Name	:	FRANK LAZARINO
Credential	:
Telephone Number	:	978-658-5577

Provider Enumeration Date	:	11/16/2005
Last Update Date	:	05/29/2009

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