MAINE MOLECULAR IMAGING LLC (NPI# 1578667994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578667994 |
| Entity Type | Organization |
| Organization Name | MAINE MOLECULAR IMAGING LLC |
| Practice Address |
27 Industrial Ave Sanford ME 04073-5820 |
| Mailing Address |
Po Box 414025 Boston MA 02241-4025 |
| Practice Telephone | 8007344132 |
| Practice Fax Number | 8002732377 |
| Mailing Telephone | 9492826000 |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2007-10-05 |
| Authorized Official Name | MR. BRIAN G DRAZBA (SENIOR VP & CHIEF ACCOUNTING OFCR) |
| Authorized Official Telephone | 94928260000 |
| 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 |
| 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 |
27 INDUSTRIAL AVE |
| City | SANFORD |
| State | ME |
| Zip Code | 04073-5820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093721250 | Cancer Care Center of York County | Specialist | 27 Industrial Ave, Sanford, ME 04073-5820 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326551888 | Casey Hope Lapierre | Chiropractor | 21 Daigle Lane, Sanford, ME 04073 | 2017-11-07 |
| 1619404860 | Matthew Jason Holt | Counselor | 469 Main Street, Suite 201, Sanford, ME 04073 | 2017-05-18 |
| 1023556776 | Grace Street Services, LLC | Substance Abuse Rehabilitation Facility | 69 Eagle Drive, Sanford, ME 04073 | 2017-02-02 |
| 1730639311 | Kathleen Ann Coward | Denturist | 1200 Main Street, Sanford, ME 04073 | 2016-10-07 |
| 1437522174 | We Care Home Care | Home Health | 38 Brook St Apt A, Sanford, ME 04073 | 2015-11-03 |
| 1619231602 | Paul E. Beaudoin | Dentist | 2 Stilson Street, Sanford, ME 04073 | 2012-06-25 |
| 1730332685 | York County Community Action Corps | Case Management | 35 Island Ave., Sanford, ME 04073 | 2008-10-23 |
| 1205031788 | Douglas W. Rainforth | Specialist | Goodall Occupational Health Clinic, 13july St., Sanford, ME 04073 | 2007-06-15 |
| 1275742645 | Janet S Steffens | Speech-Language Pathologist | Center for Communication, 1280 Main Street, Sanford, ME 04073 | 2007-05-22 |
| 1003033358 | Lauren M Torch | Social Worker | 890 Main Street, Suite 118 Lower Midtown Mall, Sanford, ME 04073 | 2007-04-19 |
| Find all providers in zip 04073 | ||||
| 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 |
| 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 |
| 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.