MEDICARE: BOSTWICK LABORATORIES 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	291U00000X	Clinical Medical Laboratory

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	138056	OTHER	VA	ANTHEM BCBS OF VIRGINIA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
12	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
13	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
14	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
15	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
16	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
17	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
18	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
19	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
20	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871526384
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BOSTWICK LABORATORIES INC

Provider Business Mailing Address
First Line	:	PO BOX 403751
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30384-3751
Country	:	US
Telephone Number	:	804-967-9225
Fax Number	:	804-239-1954

Provider Business Practice Location Address
First Line	:	6925 LAKE ELLENOR DR
Second Line	:	SUITE 2
City	:	ORLANDO
State	:	FL
Zip	:	32809-4631
Country	:	US
Telephone Number	:	407-888-9937
Fax Number	:	407-856-0333

Authorized Official
Title or Position	:	CEO
Name	:	MR. MARTIN J STEFANELLI
Credential	:
Telephone Number	:	516-512-5200

Provider Enumeration Date	:	07/08/2006
Last Update Date	:	12/03/2014

Similar Medicare Providers

1619146909 — MRS. TAHSEEN AKRAM RAWLS R.D
Practice Location Address:

6925 LAKE ELLENOR DR , SUITE 650
ORLANDO, FL
32809-4631

Practice Phone: 407-852-1751
Practice Fax: 407-852-1748

1982936118 — DIANA CAROLINA ABRIL-MEDINA
Practice Location Address:

6925 LAKE ELLENOR DR STE 12020
ORLANDO, FL
32809-4631

Practice Phone: 407-301-1845
Practice Fax: 407-988-1600

1306782370 — WILLESHCA RAMOS CPT
Practice Location Address:

7132 KARDEN WAY
ORLANDO, FL
32822-4631

Practice Phone: 407-779-0924
Practice Fax:

1922944990 — SOURCE OF LIFE MOBILE LABS
Practice Location Address:

7132 KARDEN WAY
ORLANDO, FL
32822-4631

Practice Phone: 407-779-0924
Practice Fax:

1417659103 — FRANCKLINE LAMOUR
Practice Location Address:

2121 S HIAWASSEE RD APT 4631
ORLANDO, FL
32835-8770

Practice Phone: 407-664-7888
Practice Fax:

1326842949 — KATHERINE DANIELLE FRANCO
Practice Location Address:

5959 LAKE ELLENOR DR
ORLANDO, FL
32809-4633

Practice Phone: 786-673-9355
Practice Fax:

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.

MEDICARE: BOSTWICK LABORATORIES INC

Scope of Practice

Other Identifiers

General Provider Information

Similar Medicare Providers

Directions to “BOSTWICK LABORATORIES INC ” Practice Location