MAINE MOLECULAR IMAGING LLC (NPI# 1316995632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316995632 |
| Entity Type | Organization |
| Organization Name | MAINE MOLECULAR IMAGING LLC |
| Practice Address |
46 Fairview Ave Skowhegan ME 04976-1481 |
| Mailing Address |
Po Box 414025 Boston MA 02241-4025 |
| Practice Telephone | 8007344132 |
| Practice Fax Number | 8002732377 |
| Mailing Telephone | 9492826000 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2007-10-05 |
| Authorized Official Name | BRIAN G DRAZBA (SENIOR V.P. & CHIEF ACCOUNTING OFCR) |
| Authorized Official Telephone | 9492826000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972551299 | Maine Molecular Imaging LLC | Physiological Laboratory | 95 Campus Ave, Lewiston, ME 04240-6055 | 2006-05-05 |
| 1578667994 | Maine Molecular Imaging LLC | Physiological Laboratory | 27 Industrial Ave, Sanford, ME 04073-5820 | 2006-09-08 |
| 1548219579 | Maine Molecular Imaging LLC | Physiological Laboratory | 1 Medical Center Dr, Biddeford, ME 04005 | 2006-05-08 |
| 1659329985 | Maine Molecular Imaging LLC | Physiological Laboratory | 118 Northport Ave, Belfast, ME 04915-6009 | 2006-05-05 |
| 1316995624 | Maine Molecular Imaging LLC | Physiological Laboratory | 100 Campus Dr, Scarborough, ME 04074-9692 | 2006-05-05 |
| 1750339065 | Maine Molecular Imaging LLC | Physiological Laboratory | 149 North St, Waterville, ME 04901-4974 | 2006-05-05 |
| 1285682591 | Maine Molecular Imaging LLC | Physiological Laboratory | 123 Medical Center Dr, Brunswick, ME 04011-2652 | 2006-05-05 |
| 1942258264 | Maine Molecular Imaging LLC | Physiological Laboratory | 360 Broadway, Bangor, ME 04401-3979 | 2006-05-05 |
| Street Address |
46 FAIRVIEW AVE |
| City | SKOWHEGAN |
| State | ME |
| Zip Code | 04976-1481 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558367995 | Jean S Benson | Emergency Medicine | 46 Fairview Ave, Skowhegan, ME 04976-1481 | 2005-06-21 |
| 1700408317 | Ann Catherine Boss | Physician Assistant | 46 Fairview Ave, Skowhegan, ME 04976-1481 | 2020-05-18 |
| 1437715943 | Stephen Arnold | Physician Assistant | 46 Fairview Ave, Skowhegan, ME 04976-1481 | 2019-05-10 |
| 1891283982 | Kelsey Elizabeth Audie | Registered Nurse | 46 Fairview Ave, Skowhegan, ME 04976-1481 | 2018-04-25 |
| 1972025773 | Andrew Bray | Family Medicine | 46 Fairview Ave, Skowhegan, ME 04976-1481 | 2017-07-13 |
| 1124540042 | Mariano Antonio Toledo Saldarriaga | Internal Medicine | 46 Fairview Ave, Skowhegan, ME 04976-1481 | 2017-07-12 |
| 1679093538 | Setha Wade Carbee | Physician Assistant | 46 Fairview Ave, Skowhegan, ME 04976-1481 | 2017-06-22 |
| 1568992196 | Samantha Sue Stanfield | Physician Assistant | 46 Fairview Ave, Skowhegan, ME 04976-1481 | 2017-06-15 |
| 1558714576 | Kassy Baig | Nurse Practitioner | 46 Fairview Ave, Skowhegan, ME 04976-1481 | 2016-07-14 |
| 1942650809 | Shamano Minhas | Family Medicine | 46 Fairview Ave, Skowhegan, ME 04976-1481 | 2016-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625573 | Alexander Jacob Tyburski | Dentist | 327 North Avenue, Skowhegan, ME 04976 | 2020-06-30 |
| 1033574348 | Northwoods Dental LLC | Dentist | 327 North Ave, Skowhegan, ME 04976 | 2015-12-31 |
| 1073988010 | Elizabeth Ann Corbin | Social Worker | 60 Water Street; Suite 202, Skowhegan, ME 04976 | 2015-12-02 |
| 1861875411 | Rebecca J. Dillingham | Registered Nurse | 1074 Canaan Road, Skowtogan, ME 04976 | 2015-07-01 |
| 1972915411 | Elisa Maria Diaz | Family Medicine | 46 Fairview Ave # 111, Skowhegan, ME 04976 | 2014-06-02 |
| 1215289277 | Alicia Bedard | Social Worker | 5 Commerce Drive, Skowhegan, ME 04976 | 2012-10-15 |
| 1942497276 | Betsy Belanger | Occupational Therapist | 23 Cedar Ridge Drive, Skowhegan, ME 04976 | 2007-10-01 |
| 1033322920 | Msad #54 | Local Education Agency (LEA) | 199 West Front Street, Skowhegan, ME 04976 | 2007-05-07 |
| 1063632263 | Shirley A Manzer | Case Manager/Care Coordinator | 78 Madison Ave, Skowhegan, ME 04976 | 2007-04-27 |
| 1275750259 | Elizabeth Doucette | Specialist | 220 Madsion Ave., Skowhegan, ME 04976 | 2007-04-19 |
| Find all providers in zip 04976 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114977337 | Insight-premier Health LLC | Physiological Laboratory | 46 Fairview Ave Ste 100, Skowhegan, ME 04976-1481 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972551299 | Maine Molecular Imaging LLC | Physiological Laboratory | 95 Campus Ave, Lewiston, ME 04240-6055 | 2006-05-05 |
| 1962468405 | Insight-premier Health LLC | Physiological Laboratory | 11 Medical Center Dr, Ste 1, Brunswick, ME 04011-2690 | 2006-04-24 |
| 1710942875 | Insight-premier Health LLC | Physiological Laboratory | 33 Gorham Rd, Scarborough, ME 04074-9552 | 2006-04-19 |
| 1922525740 | Ekg Analytics Inc | Physiological Laboratory | 298 North Rd, Sebec, ME 04481-3011 | 2017-08-23 |
| 1457520827 | Neurologic Diagnostic Services of Eastern Maine, P.a. | Physiological Laboratory | 498 Essex St, Bangor, ME 04401-3990 | 2008-02-29 |
| 1578667994 | Maine Molecular Imaging LLC | Physiological Laboratory | 27 Industrial Ave, Sanford, ME 04073-5820 | 2006-09-08 |
| 1861502379 | Insight-premier Health LLC | Physiological Laboratory | 57 Water St, Blue Hill, ME 04614 | 2006-08-30 |
| 1093765208 | Insight-premier Health LLC | Physiological Laboratory | 103 S High St, Bridgton, ME 04009-4101 | 2006-05-10 |
| 1700836913 | Insight-premier Health LLC | Physiological Laboratory | 111 Franklin Health Cmns, Farmington, ME 04938-6144 | 2006-05-10 |
| 1245280452 | Insight-premier Health LLC | Physiological Laboratory | 200 Kennedy Memorial Dr, Waterville, ME 04901-4526 | 2006-05-10 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.