PROVIDER LABORATORY SERVICES LLC

LEWISTON, ME
NPI1972970341
Entity TypeOrganization
Authorized ContactTOM VURGASON
General Partner
207-333-3278
Organization Subpart ?No
Primary Taxonomy291U00000X Clinical Medical Laboratory
Enumeration Date2015-09-01
Last Update Date2017-01-10
Business Address
PROVIDER LABORATORY SERVICES LLC
88 OXFORD ST
LEWISTON, ME 04240-7825
Phone number: 207-241-7722
Mailing Address
PROVIDER LABORATORY SERVICES LLC
PO BOX 1150 306 RODMAN ROAD
AUBURN, ME 04211-1150
Phone number: 207-333-3278