Organization
AFFILIATED LABORATORY, INC.
Active
Other names
Northern Light Laboratory, ALI
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN POMEROY MT (ASCP) (VICE PRESIDENT)
(207) 973-6905
Entity
Organization
Contact information
Practice address
417 STATE ST, BANGOR, ME 04401-6630
(207) 973-6900
Mailing address
417 STATE ST, BANGOR, ME 04401-6630
(207) 973-6900
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MEDLC006
—
ME
Enumeration date
07/07/2005
Last updated
03/06/2019
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