Dahl Chase Diagnostic Services

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

20D0936816 Issued in ME

Legal business name

DAHL CHASE DIAGNOSTIC SERVICES

Practice address

417 State St
Suite 440
Bangor, ME 04401-6630

Phone

(207) 941-8200

Fax

(207) 990-4848

NPI assigned

Dec 5, 2014

Last updated

Jun 9, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

DAHL CHASE PATHOLOGY ASSOC.As reported in NPPES

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

Authorized official

Name

Marcie Lynn Pasternack

Title

Manager Accounts Rec

Phone

(207) 941-8270

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Dahl Chase Diagnostic Services2 organizations share this tax ID, including this one

Part of

Dahl Chase Pathology

Other organizations with this tax ID 1

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

• Dahl Chase Diagnostic Services

  • Clinical Medical Laboratory
  • Bangor, ME
  • NPI 1104847110
  NPD tax ID

Locations

Practitioners 2

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.

• Richard Riemersma, M.D.

  • Specialist
  • Bangor, ME
  • NPI 1952321507
  NPD (past)
• Lindsay Williams, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Bangor, ME
  • NPI 1235561887
  NPD (past)

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

{
    "created_epoch": "1417737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591660800000",
    "number": "1750789897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 STATE ST",
            "address_2": "SUITE 440",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016630",
            "telephone_number": "207-941-8200",
            "fax_number": "207-990-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 STATE ST",
            "address_2": "SUITE 440",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016630",
            "telephone_number": "207-941-8200",
            "fax_number": "207-990-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAHL CHASE DIAGNOSTIC SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DAHL CHASE PATHOLOGY ASSOC.",
        "enumeration_date": "2014-12-05",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A",
        "authorized_official_last_name": "PASTERNACK",
        "authorized_official_first_name": "MARCIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MANAGER ACCOUNTS REC",
        "authorized_official_telephone_number": "207-941-8270"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "ME",
            "license": "20D0936816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113950000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• D' Lane, LLC
• Joshua Buckmaster D'Alessio, LADC
• Barbara Dawn Dagraca, PMHNP-BC
• Sumit Dahal
• Dahl Chase Diagnostic Services
• Dahl Chase Pathology Associates, PA
• Dahl Chase Pathology Associates, PA (Dahl Chase Pathology Assoc.)
• William K Dahl, DPM
• Barbara J. Daigle, FNP
• Makayla Rae Daigle, LCPC

• Clinical Medical Laboratory in Bangor, ME
• Providers in Bangor, 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 Jun 9, 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.