NPIMap

Organization Active NPI

State of Maine Health and Environmental Tessting Laboratory

  • Clinical Medical Laboratory
  • Augusta, ME
National Provider Identifier
1407985302
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
STATE OF MAINE HEALTH AND ENVIRONMENTAL TESSTING LABORATORY
Practice address
Station 12
221 State Street
Augusta, ME 04333-0001
Phone
(207) 287-2703
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kenneth G. Pote, PH.D.
Title
Senior Scientist Clia Lab Director
Phone
(207) 287-2703

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X ME Primary

Addresses

Primary practice location

Station 12
221 State Street
Augusta, ME 04333-0001

Mailing address

Station 12
221 State Street
Augusta, ME 04333-0001
Phone (207) 287-2703

National Provider Directory

National Provider Directory
Tax ID family
Pineland Center8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

221 State St
Augusta, ME 04330
Phone (207) 287-2703

221 State St
#12
Augusta, ME 04330

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407985302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "STATION 12",
            "address_2": "221 STATE STREET",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043330001",
            "telephone_number": "207-287-2703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STATION 12",
            "address_2": "221 STATE STREET",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043330001",
            "telephone_number": "207-287-2703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF MAINE HEALTH AND ENVIRONMENTAL TESSTING LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POTE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "SENIOR SCIENTIST CLIA LAB DIRECTOR",
        "authorized_official_telephone_number": "207-287-2703",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "ME",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.