| NPI | 1255781639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES M BLUM Owner 207-299-5411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 80028108) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: FL ME18197) |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2016-12-13 |