MAINE MOLECULAR IMAGING LLC (NPI# 1659329985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659329985 |
| Entity Type | Organization |
| Organization Name | MAINE MOLECULAR IMAGING LLC |
| Practice Address |
118 Northport Ave Belfast ME 04915-6009 |
| 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 | 170500000 | 05 | |
| ME | RAILROAD MEDICARE | 470001736 | 01 |
| 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 |
| 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 |
118 NORTHPORT AVE |
| City | BELFAST |
| State | ME |
| Zip Code | 04915-6009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881690162 | Robert P Walker | Radiology | 118 Northport Ave, Belfast, ME 04915-6009 | 2005-06-22 |
| 1619537586 | Lariah Langis | Physical Therapy Assistant | 118 Northport Ave, Belfast, ME 04915-6072 | 2019-06-13 |
| 1457910556 | Sunny Rae Bolduc | Occupational Therapist | 118 Northport Ave, Belfast, ME 04915-6009 | 2019-06-12 |
| 1902465198 | Alissa Randolph | Physical Therapist | 118 Northport Ave, Belfast, ME 04915-6009 | 2019-06-11 |
| 1881153807 | Catherine Gerrish | Occupational Therapy Assistant | 118 Northport Ave, Belfast, ME 04915-6009 | 2019-03-19 |
| 1235697079 | George Alexander Orestis | Occupational Therapy Assistant | 118 Northport Ave, Belfast, ME 04915-6009 | 2019-03-12 |
| 1760940522 | Lorraine Bent Sloane | Physical Therapist | 118 Northport Ave, Belfast, ME 04915-6072 | 2019-03-11 |
| 1427516939 | Peter W Klausmeyer | Physical Therapist | 118 Northport Ave, Belfast, ME 04915-6009 | 2019-03-05 |
| 1437617941 | Adam Landwehr | Physical Therapist | 118 Northport Ave, Belfast, ME 04915-6009 | 2019-03-05 |
| 1962960492 | Patricia Ann Blake | Physical Therapist | 118 Northport Ave, Belfast, ME 04915-6072 | 2019-03-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578049201 | Elizabeth Ann Owen-mishou | Speech-Language Pathologist | Waldo County General Hospital/mainehealth, 118 Northport Avenue, Belfast, ME 04915 | 2018-07-16 |
| 1407365489 | Steven James Hoffman | Physical Therapist | 80 Spring St., Belfast, ME 04915 | 2017-09-22 |
| 1104281534 | Private Home Care, Inc. | Technician | 243 High St., 2nd Floor, Belfast, ME 04915 | 2015-12-30 |
| 1568836559 | Carmen Elizabeth Williams | Social Worker | 41 Wight Street, Belfast, ME 04915 | 2015-11-14 |
| 1982099453 | Just Me In Home Care | In Home Supportive Care | 126 Harriman Rd, Swanville, ME 04915 | 2015-04-01 |
| 1730516576 | Lauren Mcelwain | Social Worker | 109 Northport Ave., Apt. 4, Belfast, ME 04915 | 2013-10-10 |
| 1679824312 | Robert John Struba | Acupuncturist | 34 Race Street, Belfast, ME 04915 | 2012-09-20 |
| 1629371471 | Coastal Maine Behavioral Health Inc. | Case Management | 96 High St., A, Belfast, ME 04915 | 2010-12-17 |
| 1043524523 | Daniella Macleod | Counselor | 24 Sweetser Drive, Belfast, ME 04915 | 2010-07-27 |
| 1104060672 | Waldo County Child Development Service | Speech-Language Pathologist | 139 Northport Avenue, Belfast, ME 04915 | 2009-04-28 |
| Find all providers in zip 04915 | ||||
| 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 |
| 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 |
| 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.