Organization
NORDX
Active
Other names
MMC Hospital Laboratories Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM STANLEY SCHOFIELD (PRESIDENT)
(207) 396-7878
Entity
Organization
Contact information
Practice address
301A US ROUTE 1, SCARBOROUGH, ME 04074-9701
(207) 396-7800
(207) 396-7880
Mailing address
301A US ROUTE 1, SCARBOROUGH, ME 04074-9701
(207) 396-7800
(207) 396-7880
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
MEDLC001
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130720001
—
ME
05
—
30800408
—
NH
01
—
690007575
RAILROAD MEDICARE
—
Enumeration date
07/28/2005
Last updated
08/21/2013
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