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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) 874-2317

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
20D0088755
ME

Other

Enumeration date
09/04/2008
Last updated
05/12/2026
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