NPI 1013205558
Northern New England Diagnostics
Practice location
- Address
- 1053 Western Ave, Manchester, ME 04351-3403
- Phone
- (207) 622-4500
- Fax
- (207) 622-5452
Authorised official
- Name
- Madeline Mrazik
- Title
- Business Manager
- Phone
- (207) 446-4749
Registered specialties
Clinical Medical Laboratory
Primary
Registry record
- NPI
- 1013205558
- Entity type
- Organization
- NPI issued
- 19 Jul 2011
- Record last updated
- 19 Jul 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.