Organization
NORTHERN NEW ENGLAND DIAGNOSTICS
Active
Other names
Manchester Diagnostics
Organization subpart
No
Provider details
NPI number
Authorized official
MADELINE MRAZIK (BUSINESS MANAGER)
(207) 446-4749
Entity
Organization
Contact information
Practice address
1053 WESTERN AVE, MANCHESTER, ME 04351-3403
(207) 622-4500
(207) 622-5452
Mailing address
1053 WESTERN AVE, MANCHESTER, ME 04351-3403
(207) 622-4500
(207) 622-5452
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
07/19/2011
Last updated
07/19/2011
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