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).
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 |
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 |
---|---|---|---|---|
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 |
Street Address |
123 MEDICAL CENTER DR |
City | BRUNSWICK |
State | ME |
Zip Code | 04011-2652 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 04011 |
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 |
---|---|---|---|---|
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 |
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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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.