| NPI | 1972908184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN TEWKSBURY Owner 207-768-4013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: ME 012546) |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2014-10-30 |