| NPI | 1104847110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON A SWANSON Executive Vice President 207-941-8223 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: ME 20D0936816) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2020-06-09 |