Healther Providers Data Logo

20D0088755 CLIA NUMBER - INTERMED PA

Laboratory Demographics

CLIA Number: 20D0088755

Facility Name: INTERMED PA

Facility Address:
50 FODEN ROAD
SOUTH PORTLAND, ME
ZIP 04106
Get Directions

Facility Phone Number: 207 523-3687

Facility Type: Independent

Certificate Type: Accreditation
NPI Number: 1336538198

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 20D0088755
LAB Type Independent
Facility Name INTERMED PA
Street 50 FODEN ROAD
City SOUTH PORTLAND
State ME
ZIP 04106
Phone 207 523-3687
CertificateType 1
CertificateEffectiveDate 12/23/2023
CertificateExpirationDate 12/22/2025
FacilityType Accreditation

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024