Provider Laboratory Services LLC

Provider Laboratory Services LLC is a healthcare organization registered as Clinical Medical Laboratory in Lewiston, ME, holding Type 2 (organization) NPI 1972970341 since 2015. The authorized official on file is Tom Vurgason, General Partner.

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NPI	1972970341
Entity type	Organization (Type 2)
Legal business name	Provider Laboratory Services LLC
Practice address	88 OXFORD ST, Lewiston, ME, 04240
Phone	2072417722
Fax	2073125677
Enumeration date	2015-09-01
Last updated in NPPES	2017-01-10

Authorized official

Name	Tom Vurgason
Title	General Partner
Phone	2073333278

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
291U00000X	Clinical Medical Laboratory	Primary	—	—

Copy-ready billing details

Provider: Provider Laboratory Services LLC
NPI: 1972970341
Taxonomy: 291U00000X (Clinical Medical Laboratory)
Address: 88 OXFORD ST, Lewiston, ME, 04240

Providers at this address

NPI	Name	Type	Specialty	Location
1568900074	Grace Street Services, LLC	Organization	Substance Abuse Rehabilitation Facility	Lewiston, ME
1972076065	Keith Mcdonald	Individual	Addiction (Substance Use Disorder) Counselor	Lewiston, ME

Verify this record

Cross-check NPI 1972970341 against the authoritative CMS record: view Provider Laboratory Services LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2017-01-10. Verify at npiregistry.cms.hhs.gov.

Where is Provider Laboratory Services LLC located?

The practice location on file with NPPES is in Lewiston, ME.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2017-01-10.