MAINE MOLECULAR IMAGING LLC (NPI# 1972551299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972551299 |
| Entity Type | Organization |
| Organization Name | MAINE MOLECULAR IMAGING LLC |
| Practice Address |
95 Campus Ave Lewiston ME 04240-6055 |
| 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 | 2019-08-26 |
| Authorized Official Name | RAMONA L AHERN (SPECIAL ASSISTANT SECRETARY) |
| Authorized Official Telephone | 9527384441 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | RAILROAD MEDICARE | 470001736 | 01 |
| ME | 170500000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1316995632 | Maine Molecular Imaging LLC | Physiological Laboratory | 46 Fairview Ave, Skowhegan, ME 04976-1481 | 2006-05-05 |
| 1942258264 | Maine Molecular Imaging LLC | Physiological Laboratory | 360 Broadway, Bangor, ME 04401-3979 | 2006-05-05 |
| Street Address |
95 CAMPUS AVE |
| City | LEWISTON |
| State | ME |
| Zip Code | 04240-6055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773882 | Hannah Page Guerrette | Speech-Language Pathologist | 2 Strawberry Ave, Lewiston, ME 04240 | 2020-09-03 |
| 1497392500 | Samuel C Larouche | Social Worker | 100 Campus Ave Stes A&b, Lewiston, ME 04240 | 2019-12-09 |
| 1972145019 | Pomarand Behavioral Services | Nurse Practitioner | 217 Main St., Suite 201, Lewiston, ME 04240 | 2019-10-10 |
| 1396248258 | William Bucklin | Counselor | 17 Main St Fl 2, Lewiston, ME 04240 | 2018-03-16 |
| 1548769524 | Kevin Ryan | Physician Assistant | 12 High Street Suite 102, Lewiston, ME 04240 | 2018-02-06 |
| 1033637673 | Wellness Center | Clinic/Center | 37 Park Street, Suite 305, Lewiston, ME 04240 | 2017-09-04 |
| 1710404561 | Colasante Chiropractic, LLC | Clinic/Center | 184 Webster Street, #100, Lewiston, ME 04240 | 2017-08-23 |
| 1609398544 | Lindsey Laforge | Occupational Therapist | 984 1/2 Sabattus Street, Lewiston, ME 04240 | 2017-07-12 |
| 1861922478 | Seth Toothaker | Counselor | 1190 Lisbon Street, Lewiston, ME 04240 | 2017-06-15 |
| 1861850828 | Black Bear Support Services, LLC | Community/Behavioral Health | 571 Sabattus Street, Suite 15, Lewiston, ME 04240 | 2016-02-05 |
| Find all providers in zip 04240 | ||||
| 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 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.