OrganizationActive
Intermed, PA
NPI 1033367982 · Clinical Medical Laboratory · South Portland, ME
Provider details
- NPI number
- 1033367982
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Roger Poitras, Chief Executive Officer(207) 347-2853
- License
- 20D0088755 (ME)
Specialties & taxonomies
Laboratories
Practice location
50 Foden Rd
South Portland, ME 04106-1718
Phone: (207) 828-0361
Fax: (855) 576-4814
Approximate (ZIP-level) locationGet directions
Mailing address
100 Gannett Drive
South Portland, ME 04106-5900
Additional practice locations (3)
- 84 Marginal Way Ste 700Portland, ME 04101-2474Phone: (207) 774-5816
- 100 Foden RdSouth Portland, ME 04106-2327Phone: (207) 347-2695
- 259 Main StYarmouth, ME 04096-6723Phone: (207) 846-9013
Registry dates
- Enumerated
- 2008-09-04
- Last updated
- 2026-05-12
- Certified
- 2026-05-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.