| Pchc Main Lab | |
|
992 Union St. Suite J Bangor ME 04402 | |
| (207) 992-2336 | |
| (207) 992-2154 |
| Full Name | Pchc Main Lab |
|---|---|
| Speciality | Clinical Medical Laboratory |
| Location | 992 Union St. Suite J, Bangor, Maine |
| Authorized Official Name and Position | Lori L. Dwyer (PRESIDENT & CEO) |
| Authorized Official Contact | 2079929200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pchc Main Lab Po Box 1599 Bangor ME 04402-1599 Ph: (207) 945-5247 | Pchc Main Lab 992 Union St. Suite J Bangor ME 04402 Ph: (207) 992-2336 |
| NPI Number | 1659464584 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 06/25/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659464584 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 291U00000X | Clinical Medical Laboratory | (* (Not Available)) | Primary |
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