Neurologic Diagnostic Services of Eastern Maine, P.a.

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

NEUROLOGIC DIAGNOSTIC SERVICES OF EASTERN MAINE, P.A.

Practice address

498 Essex St
Bangor, ME 04401-3990

Phone

(207) 947-0340

NPI assigned

Feb 29, 2008

Last updated

Jun 21, 2018By 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

Mr. Bruce A Roscher

Title

Chief Financial Officer

Phone

(207) 947-0558

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1457520827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "498 ESSEX ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013990",
            "telephone_number": "207-947-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "498 ESSEX ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013990",
            "telephone_number": "207-947-0340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGIC DIAGNOSTIC SERVICES OF EASTERN MAINE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-29",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "ROSCHER",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "207-947-0558",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "ME",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physiological Laboratory in Bangor, ME
• Providers in Bangor, ME by specialty
• Physiological Laboratory in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.