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
MARCIE LYNN PASTERNACK (MANAGER ACCOUNTS REC)
(207) 941-8270
Entity
Organization
Contact information
Practice address
417 STATE ST, SUITE 440, BANGOR, ME 04401-6630
(207) 941-8200
(207) 990-4848
Mailing address
417 STATE ST, SUITE 440, BANGOR, ME 04401-6630
(207) 941-8200
(207) 990-4848
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
20D0936816
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113950000
—
ME
Enumeration date
12/05/2014
Last updated
06/09/2020
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