| NPI | 1780737270 |
|---|---|
| Other Name | COASTAL WOMENS HEALTHCARE MED LAB |
| Entity Type | Organization |
| Authorized Contact | KELLY A GAGNON Operations Director 207-885-8445 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: ME 20D0088760) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2010-09-23 |