Organization
COASTAL TESTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL TETREAULT (PRESIDENT)
(207) 363-0391
Entity
Organization
Contact information
Practice address
316 US ROUTE 1, SUITE G, YORK, ME 03909-1673
(207) 363-0391
Mailing address
316 US ROUTE 1, YORK, ME 03909-1673
(207) 363-0391
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
01/29/2012
Last updated
01/29/2012
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