NPI | 1225035132 |
---|---|
Other Name | ALI |
Doing Business As | NORTHERN LIGHT LABORATORY |
Entity Type | Organization |
Authorized Contact | KAREN POMEROY Vice President 207-973-6905 |
Organization Subpart ? | No |
Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
Enumeration Date | 2005-07-07 |
Last Update Date | 2019-03-06 |