{"npi":"1225035132","type":"NPI-2","status":"active","name":{"display":"Affiliated Laboratory, Inc.","other":[],"organization_name":"AFFILIATED LABORATORY, INC.","authorised_official":"Karen Pomeroy"},"specialty":{"primary_taxonomy":"291U00000X","primary_taxonomy_description":"Clinical Medical Laboratory","slug":"clinical-medical-laboratory","schema_org_specialty":"Pathology","all":[{"code":"291U00000X","description":"Clinical Medical Laboratory","primary":true,"state":"ME","license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"417 STATE ST","city":"BANGOR","state":"ME","postal_code":"044016630","country_code":"US","phone":"2079736900"},{"purpose":"MAILING","street_1":"417 STATE ST","city":"BANGOR","state":"ME","postal_code":"044016630","country_code":"US","phone":"2079736900"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"MEDLC006","state":"ME","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2005-07-07","last_updated":"2019-03-06","_meta":{"source":"NPPES","snapshot_date":"2019-03-06","doc_url":"https://findmynpi.com/api"}}