MAINE MOLECULAR IMAGING LLC


Address: 123 Medical Center Dr, Brunswick, ME 04011-2652
Phone: 8007344132

MAINE MOLECULAR IMAGING LLC (NPI# 1285682591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285682591
Entity Type Organization
Organization Name MAINE MOLECULAR IMAGING LLC
Practice Address 123 Medical Center Dr
Brunswick
ME 04011-2652
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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 293D00000X Physiological Laboratory Laboratories

Other Provider Identifier

State Issuer Identifier Type Code
ME RAILROAD MEDICARE 470001736 01
ME 170500000 05

Other Provider IDs and Locations

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
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

Office Location

Street Address 123 MEDICAL CENTER DR
City BRUNSWICK
State ME
Zip Code 04011-2652

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013911841 Philip S Crichton Radiology 123 Medical Center Dr, Brunswick, ME 04011-2652 2005-06-09
1972129005 Mainehealth Clinic/Center 123 Medical Center Dr, Brunswick, ME 04011-2652 2020-06-24
1902422561 Mainehealth Clinic/Center 123 Medical Center Dr, Brunswick, ME 04011-2652 2020-06-19
1699399931 Abrianne Eagers Registered Nurse 123 Medical Center Dr, Brunswick, ME 04011-2652 2020-06-02
1629606934 Morgan Cooper Physical Therapist 123 Medical Center Dr, Brunswick, ME 04011-2652 2020-03-31
1073020707 Thomas Blake Hendrix Internal Medicine 123 Medical Center Dr, Brunswick, ME 04011-2652 2018-01-03
1215448048 Kelly A Hoyt Nurse Practitioner 123 Medical Center Dr, Brunswick, ME 04011-2652 2017-10-19
1306357587 Kristina Nocella Physical Therapist 123 Medical Center Dr, Brunswick, ME 04011-2652 2017-10-16
1760907224 Jaime Norton Occupational Therapist 123 Medical Center Dr, Brunswick, ME 04011-2652 2017-08-07
1831612357 Amanda Beth Behnke Nurse Practitioner 123 Medical Center Dr, Brunswick, ME 04011-2652 2017-07-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093276370 Convenientmd LLC Clinic/Center 193 Bath Road, Brunswick, ME 04011 2019-03-28
1326571241 Psychology Specialists of Maine Psychologist 14 Maine St., Suite 309, Brunswick, ME 04011 2017-04-07
1992249775 Avita Brunswick LLC Alzheimer Center (Dementia Center) 89 Admiral Fitch Way, Brunswick, ME 04011 2016-12-13
1215303433 Mary K Kunhardt Social Worker 116 Maquoit Rd, Brunswick, ME 04011 2015-08-12
1861803843 Gretchen Jane Stevens Counselor 136 Maine Street, Suite #6, Brunswick, ME 04011 2014-05-13
1356764567 Kid Function, Inc. Clinic/Center 225 Thomas Point Road, Brunswick, ME 04011 2014-01-23
1356788921 Jacques M. Reynolds Psychiatry & Neurology 81 Medical Center Dr # 2400, Brunswick, ME 04011 2013-05-23
1922369891 Charles Russell Thorp Pharmacist 147 Bath Rd, Rtes 1 and 24, Merry Meeting Plaza, Brunswick, ME 04011 2012-06-06
1992076111 Benjamin C. Tyau Physician Assistant 193 Bath Rd, Brunswick, ME 04011 2012-01-19
1841575339 Bluesage Therapies Inc. Social Worker 214 Raymond Road, Brunswick, ME 04011 2011-10-15
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Taxonomy Information

Taxonomy Code 293D00000X
Grouping Laboratories
Classification Physiological Laboratory

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962468405 Insight-premier Health LLC Physiological Laboratory 11 Medical Center Dr, Ste 1, Brunswick, ME 04011-2690 2006-04-24
1033169255 Insight-premier Health LLC Physiological Laboratory 329 Maine St, Brunswick, ME 04011-3310 2006-05-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1114977337 Insight-premier Health LLC Physiological Laboratory 46 Fairview Ave Ste 100, Skowhegan, ME 04976-1481 2006-05-10
1972551299 Maine Molecular Imaging LLC Physiological Laboratory 95 Campus Ave, Lewiston, ME 04240-6055 2006-05-05
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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Competitor

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City BRUNSWICK
Zip Code 04011

Improve Information

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Dataset Information

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.

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