Northern New England Diagnostics
Organization Active NPI Clinical Medical Laboratory · Manchester, ME
NPI 1013205558 · NPPES record last updated Jul 19, 2011
Key facts
- NPI
- 1013205558
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- Legal business name
- NORTHERN NEW ENGLAND DIAGNOSTICS
- Practice address
- 1053 Western Ave
Manchester, ME 04351-3403 - Phone
- (207) 622-4500
- Fax
- (207) 622-5452
- NPI assigned
- Jul 19, 2011
- Organization subpart
- No
Authorized official
- Name
- Madeline Mrazik
- Title
- Business Manager
- Phone
- (207) 446-4749
Practitioners 1
National Provider Directory
Locations
1053 Western Ave
Manchester, ME 04351
Phone (207) 622-4500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Yes |
Addresses
Primary practice location
1053 Western Ave
Manchester, ME 04351-3403
Mailing address
1053 Western Ave
Manchester, ME 04351-3403
Phone (207) 622-4500
Other names
- Manchester Diagnostics
Other providers in Manchester, ME
- Manchester Interventional Spine, LLC
- Adonna Maria Manzo
- Christopher McInnis
- Suzanne Wentworth Meub
- James B. Newton
- Northern New England Primary Care
- Northern New England Primary Care
- Cameron Elizabeth Osborne
- Sandra J Picard
- David James Pickle
All providers in Manchester, ME · Clinical Medical Laboratory in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.