| NPI | 1962423814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA M CARSON Billing Agent 207-764-7529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: ME 012546) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2008-09-22 |