Active NPI
Nordx
- Clinical Medical Laboratory
- Scarborough, ME
National Provider Identifier
1306846753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- MEDLC001
- Legal business name
- NORDX
- Practice address
- 301A US Route 1
Scarborough, ME 04074-9701 - Phone
- (207) 396-7800
- Fax
- (207) 396-7880
- NPI assigned
- Jul 28, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. William Stanley Schofield
- Title
- President
- Phone
- (207) 396-7878
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | MEDLC001 | ME | Primary |
Addresses
Primary practice location
301A US Route 1
Scarborough, ME 04074-9701
Mailing address
301A US Route 1
Scarborough, ME 04074-9701
Phone (207) 396-7800
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 130720001 | Medicaid | ME | |
| 30800408 | Medicaid | NH | |
| 690007575 | Other | RAILROAD MEDICARE |
Other names 1
- MMC Hospital Laboratories Inc.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040317000340 | ME | Part B Supplier - Independent Clinical Laboratory | 9537058706 | Practice locations: Scarborough, ME |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Nordx
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Medical Laboratory
- Scarborough, ME
- NPI 1265671515
-
- Clinical Medical Laboratory
- Scarborough, ME
- NPI 1497154934
Locations
22 Bramhall St
#C
Portland, ME 04102
301A US Route 1
Scarborough, ME 04074
Phone (207) 396-7800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1377043200000",
"number": "1306846753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301A US ROUTE 1",
"city": "SCARBOROUGH",
"state": "ME",
"postal_code": "040749701",
"telephone_number": "207-396-7800",
"fax_number": "207-396-7880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301A US ROUTE 1",
"city": "SCARBOROUGH",
"state": "ME",
"postal_code": "040749701",
"telephone_number": "207-396-7800",
"fax_number": "207-396-7880"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORDX",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-28",
"last_updated": "2013-08-21",
"status": "A",
"authorized_official_last_name": "SCHOFIELD",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "STANLEY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "207-396-7878",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "ME",
"license": "MEDLC001",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "130720001",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30800408",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "690007575",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MMC Hospital Laboratories Inc.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Scarborough, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; 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.