| NPI | 1750789897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIE LYNN PASTERNACK Manager Accounts Rec 207-941-8270 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: ME 20D0936816) |
| Enumeration Date | 2014-12-05 |
| Last Update Date | 2020-06-09 |