Pro-Med, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PRO-MED, INC.

Practice address

321 High St
Ellsworth, ME 04605-2503

Phone

(207) 667-6589

Fax

(207) 667-2589

NPI assigned

Aug 13, 2007

Organization subpart

No

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

Authorized official

Name

Dale Hadlock

Title

President

Phone

(207) 667-6589

Specialties & licenses 1

Addresses

Other names 1

• Center for Sleep Disorders Doing business as

Locations

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186963200000",
    "number": "1871785998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 WASHINGTON JCTN RD",
            "city": "HANCOCK",
            "state": "ME",
            "postal_code": "046403103",
            "telephone_number": "207-667-6589",
            "fax_number": "207-667-2589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 HIGH ST",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046052503",
            "telephone_number": "207-667-6589",
            "fax_number": "207-667-2589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO-MED, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2007-08-13",
        "status": "A",
        "authorized_official_last_name": "HADLOCK",
        "authorized_official_first_name": "DALE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-667-6589"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Sleep Disorders",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lucille Jean Poulin, MD
• Elizabeth Joanne Pouwels, RN
• Primary Health, LLC
• Primary Health, LLC
• Prime Care Medical Supplies, Inc
• Raven Hill Integrated Therapies, LLC
• Raven Hill Integrated Therapies, LLC
• Barbara W Reeve, M.D.
• Regional School Unit #24
• Daniel J. Reinke, MD

• Clinical Medical Laboratory in Ellsworth, ME
• Providers in Ellsworth, 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 Aug 13, 2007; 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.