Intermed, PA
NPI #1033367982 in South Portland, Maine
Provider Information
- NPI Number
- 1033367982
- Entity Type
- Organization
- Organization Name
- Intermed, PA
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Sep 4, 2008
- Last Updated
- Aug 26, 2025
Practice Location
- Address
- 50 FODEN RD
- City
- South Portland
- State
- Maine
- ZIP Code
- 04106-1718
- Phone
- (207) 828-0361
Authorized Official
- Name
- ROGER A. POITRAS
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (207) 347-2947
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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