Nordx

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

MEDLC 001 Issued in ME

Legal business name

NORDX

Practice address

301A US Route 1
Finance Dept Re: Hla Lab
Scarborough, ME 04074-9701

Phone

(207) 396-7812

Fax

(207) 396-7880

NPI assigned

Feb 10, 2009

Last updated

Dec 13, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

James D McAvoy

Title

Cfo

Phone

(207) 396-7812

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Nordx

  • Clinical Medical Laboratory
  • Scarborough, ME
  • NPI 1306846753

  9537058706

  Same PAC ID

Tax ID family

Nordx3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Nordx

  • Clinical Medical Laboratory
  • Scarborough, ME
  • NPI 1306846753
  NPD tax ID
• Nordx

  • Clinical Medical Laboratory
  • Scarborough, ME
  • NPI 1497154934
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenneth A Ault, MD

  • Hematology (Internal Medicine) Physician
  • Scarborough, ME
  • NPI 1477598688
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1234224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1265671515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301A US ROUTE 1",
            "address_2": "FINANCE DEPT RE: HLA LAB",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040749701",
            "telephone_number": "207-396-7812",
            "fax_number": "207-396-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301A US ROUTE 1",
            "address_2": "FINANCE DEPT RE: HLA LAB",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040749701",
            "telephone_number": "207-396-7812",
            "fax_number": "207-396-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORDX",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-10",
        "last_updated": "2011-12-13",
        "status": "A",
        "authorized_official_last_name": "MCAVOY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "207-396-7812"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "ME",
            "license": "MEDLC 001",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "ME",
            "license": "20D0911771",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HISTOCOMPATABILITY LAB",
            "identifier": "20-HL02",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thanh Thao Thuy Nguyen
• Nicole B O'Brien LCSW LLC
• Sunita Nijhawan, PSYD, LP
• Noble Care Solutions LLC
• Noble Residential Care LLC
• Nordx
• Nordx
• Northeast Forensic and Clinical Specialists, Inc.
• Northeast Mobile Health Services
• Nourished Lifestyles, LLC

• Clinical Medical Laboratory in Scarborough, ME
• Providers in Scarborough, ME by specialty
• Clinical Medical Laboratory in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.