OrganizationActive
Northern New England Diagnostics
NPI 1013205558 · Clinical Medical Laboratory · Manchester, ME
Provider details
- NPI number
- 1013205558
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Authorized official
- Madeline Mrazik, Business Manager
Practice location
1053 Western Ave
Manchester, ME 04351-3403
Phone: (207) 622-4500
Fax: (207) 622-5452
Mailing address
1053 Western Ave
Manchester, ME 04351-3403
Registry dates
- Enumerated
- 2011-07-19
- Last updated
- 2011-07-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.