Affiliated Laboratory, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

AFFILIATED LABORATORY, INC.

Practice address

417 State St
Bangor, ME 04401-6630

Phone

(207) 973-6900

NPI assigned

Jul 7, 2005

Organization subpart

No

Name

Ms. Karen Pomeroy, MT (ASCP)

Title

Vice President

Phone

(207) 973-6905

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vered Sobel, MD

  • Ophthalmology Physician
  • Rutland, VT
  • NPI 1962450742
  NPD (past)

Locations

• Northern Light Laboratory Doing business as
• ALI Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 6, 2019.

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551830400000",
    "number": "1225035132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 STATE ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016630",
            "telephone_number": "207-973-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 STATE ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016630",
            "telephone_number": "207-973-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFILIATED LABORATORY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2019-03-06",
        "status": "A",
        "authorized_official_last_name": "POMEROY",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "207-973-6905",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MT (ASCP)"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "ME",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MEDLC006",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northern Light Laboratory",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ALI",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "ALI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Adco Surgical Supply
• Israel Oreoluwa Adefunmilay Adeloye, D.M.D
• Toyosi I Adeyemo, DMD
• Nancy Adindu
• Advanced Clinical Eyecare of Maine
• Mehdi Aghamoosa
• Aging Grace House Calls, Professional Corporation
• Aging With Grace LLC
• Kelly Melissa Aguilar, M.D.
• Samantha Lee Ahearn, CADC

• All providers in Bangor, ME
• Clinical Medical Laboratory in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.