Cwcl - Coastal Womens Clinical Lab
NPI #1780737270 in Scarborough, Maine
Provider Information
- NPI Number
- 1780737270
- Entity Type
- Organization
- Organization Name
- Cwcl - Coastal Womens Clinical Lab
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- COASTAL WOMENS HEALTHCARE
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Jan 19, 2007
- Last Updated
- Sep 23, 2010
Practice Location
- Address
- 71 US ROUTE ONE
- Address 2
- SUITE A, ELEVATION CENTER
- City
- Scarborough
- State
- Maine
- ZIP Code
- 04074-9375
- Phone
- (207) 885-8400
Authorized Official
- Name
- MS. KELLY A GAGNON
- Title
- OPERATIONS DIRECTOR
- Phone
- (207) 885-8445
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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