NPI 1033367982

Intermed, PA

Organisation Clinical Medical Laboratory South Portland, ME

Practice location

Address: 50 Foden Rd, South Portland, ME 04106-1718
Phone: (207) 828-0361
Fax: (855) 576-4814
Mailing address: 100 Gannett Drive Suite C, South Portland, ME 04106-5900

Authorised official

Name: Roger A. Poitras
Title: Chief Executive Officer
Phone: (207) 347-2853

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence 20D0088755 (ME)

Other Clinical Medical Laboratory providers in Maine →

Registry record

NPI: 1033367982
Entity type: Organization
NPI issued: 4 Sep 2008
Record last updated: 31 Jul 2026

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.