| NPI | 1265671515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES D MCAVOY CFO 207-396-7812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: ME MEDLC 001) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: ME 20D0911771) |
| Enumeration Date | 2009-02-10 |
| Last Update Date | 2011-12-13 |