State of Maine Health and Environmental Tessting Laboratory

NPI #1407985302 in Augusta, Maine

Provider Information

NPI Number: 1407985302
Entity Type: Organization
Organization Name: State of Maine Health and Environmental Tessting Laboratory
Primary Specialty: Clinical Medical Laboratory
Enumeration Date: Mar 5, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: STATION 12
Address 2: 221 STATE STREET
City: Augusta
State: Maine
ZIP Code: 04333-0001
Phone: (207) 287-2703

Authorized Official

Name: DR. KENNETH G. POTE, PH.D.
Title: SENIOR SCIENTIST CLIA LAB DIRECTOR
Phone: (207) 287-2703

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinical Medical Laboratory	291U00000X	Primary

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