Organization
DAHL CHASE DIAGNOSTIC SERVICES
Active
Organization
DAHL CHASE DIAGNOSTIC SERVICES
Active
Parent organization
DAHL-CHASE PATHOLOGY ASSOC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
DAHL-CHASE PATHOLOGY ASSOC.
Authorized official
MRS. SHARON A SWANSON (EXECUTIVE VICE PRESIDENT)
(207) 941-8223
Entity
Organization
Contact information
Practice address
417 STATE ST, SUITE 440, BANGOR, ME 04401
(207) 561-2400
(207) 990-4848
Mailing address
417 STATE ST, SUITE 440, BANGOR, ME 04401-6635
(207) 941-8270
(207) 990-4848
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
20D0936816
ME
291U00000X
Clinical Medical Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113950000
—
ME
Enumeration date
07/22/2006
Last updated
06/09/2020
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