Organization
INTERMED, PA
Active
Organization
INTERMED, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER A. POITRAS (CHIEF EXECUTIVE OFFICER)
(207) 347-2853
Entity
Organization
Contact information
Practice address
50 FODEN RD, SOUTH PORTLAND, ME 04106-1718
(207) 828-0361
(855) 576-4814
Mailing address
100 GANNETT DRIVE, SUITE C, SOUTH PORTLAND, ME 04106-5900
(207) 347-2947
(207) 253-6099
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
20D0088755
ME
Other
Enumeration date
09/04/2008
Last updated
07/31/2026
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