Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

INTERMED, PA
NPI 1033367982
Clinical Medical Laboratory in South Portland, ME

Active since September 04, 2008CLIA Certified · 7 labs
50 FODEN RD, SOUTH PORTLAND, ME 04106(207) 828-0361(855) 576-4814 Get Directions Write a Review

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 31, 2026, May 12, 2026, May 24, 2017 (3 updates tracked since 2017).

About Intermed, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTERMED, PA (NPI 1033367982) is a healthcare organization registered as a clinical medical laboratory in South Portland, Maine and active in the NPI registry since September 2008. The organization holds 7 active CLIA laboratory certificates, maintains 4 additional practice locations, and lists Roger A. Poitras, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1033367982
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameINTERMED, PA
Location Address50 FODEN RDSouth Portland, ME 04106-1718
Mailing Address100 Gannett Drive, Suite CSouth Portland, ME 04106-5900 · (207) 347-2947 · Fax (207) 253-6099
Fax(855) 576-4814
Organization SubpartNo
Authorized OfficialRoger A. PoitrasChief Executive Officer · (207) 347-2853
Enumeration DateSeptember 4, 2008
Last NPPES UpdateJuly 31, 20263 updates tracked since enumeration
NPPES CertifiedJuly 31, 2026
NPI 1033367982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
License Licensed in ME · 20D0088755
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
50 FODEN RD, South Portland, ME 04106

Secondary Practice Locations 4

Location 1259 Main StYarmouth, ME 04096-6723 · Phone (207) 846-9013
Location 284 Marginal Way Ste 700Portland, ME 04101-2474 · Phone (207) 774-5816
Location 3277 Scarborough Downs RoadScarborough, ME 04074 · Phone (207) 347-2947 · Fax (207) 253-6099
Location 4100 Foden RdSouth Portland, ME 04106-2327 · Phone (207) 347-2695

CLIA Laboratory Certificates CMS CLIA 7

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 20D0088258

Intermed PA · Yarmouth, ME
Active · expires Feb 3, 2028
CLIA Number20D0088258
Laboratory TypePhysician Office
Certificate Effective DateFebruary 4, 2026
Certificate Expiration DateFebruary 3, 2028
Laboratory DirectorKristina Mcelhinney
Laboratory Phone(207) 874-5322
Laboratory LocationIntermed PA259 Main Street, Yarmouth, ME 04096
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Accreditation 20D0088755

Intermed PA · South Portland, ME
Active · expires Dec 22, 2027
CLIA Number20D0088755
Laboratory TypeIndependent
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorDr. Harold Kisner
Laboratory Phone(207) 523-3687
Laboratory LocationIntermed PA50 Foden Road, South Portland, ME 04106
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 20D1045753

Intermed PA · South Portland, ME
Active · expires Sep 21, 2027
CLIA Number20D1045753
Laboratory TypePhysician Office
Certificate Effective DateSeptember 22, 2025
Certificate Expiration DateSeptember 21, 2027
Laboratory DirectorDan Loiselle
Laboratory Phone(207) 523-3687
Laboratory LocationIntermed PA100 Foden Road West, South Portland, ME 04106
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 20D0930161

Intermed PA · Portland, ME
Active · expires Jun 30, 2027
CLIA Number20D0930161
Laboratory TypePhysician Office
Certificate Effective DateJuly 1, 2025
Certificate Expiration DateJune 30, 2027
Laboratory DirectorDan Loiselle
Laboratory Phone(207) 347-2740
Laboratory LocationIntermed PA84 Marginal Way, Portland, ME 04101
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 20D2154202

Intermed PA · South Portland, ME
Active · expires Sep 6, 2026
CLIA Number20D2154202
Laboratory TypePhysician Office
Certificate Effective DateSeptember 7, 2024
Certificate Expiration DateSeptember 6, 2026
Laboratory DirectorDan Loiselle
Laboratory Phone(207) 523-3687
Laboratory LocationIntermed PA100 Foden Road East, South Portland, ME 04106
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Compliance 20D2110230

Intermed Mohs Lab - Dermatology · South Portland, ME
Active · expires Aug 10, 2026
CLIA Number20D2110230
Laboratory TypePhysician Office
Certificate Effective DateAugust 11, 2024
Certificate Expiration DateAugust 10, 2026
Laboratory DirectorKenneth J. Galeckas
Laboratory Phone(207) 523-3900
Laboratory LocationIntermed Mohs Lab - Dermatology100 Foden Rd, West Suite 203, South Portland, ME 04106
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
50 FODEN RD
SOUTH PORTLAND, ME 04106
Physical Therapist
50 FODEN RD
SOUTH PORTLAND, ME 04106
Physical Therapist
50 FODEN RD
SOUTH PORTLAND, ME 04106
Physical Therapist
50 FODEN RD
SOUTH PORTLAND, ME 04106
Nurse Practitioner
50 FODEN RD
SOUTH PORTLAND, ME 04106
Occupational Therapist (Pediatrics)
50 FODEN RD
SOUTH PORTLAND, ME 04106
Physical Therapist
50 FODEN RD
SOUTH PORTLAND, ME 04106
Nurse Practitioner (Family)
50 FODEN RD
SOUTH PORTLAND, ME 04106

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Intermed, PA's NPI number?

The NPI number for Intermed, PA is 1033367982. It was assigned to this organization in the NPPES registry on September 4, 2008.

Where is Intermed, PA located?

Intermed, PA is located at 50 Foden Rd, South Portland, ME 04106. The listed phone number is (207) 828-0361.

What is Intermed, PA's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Intermed, PA hold CLIA laboratory certificates?

Yes. 7 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Intermed, PA was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.