1. Home
  2. Directory
  3. Maine
  4. South Portland
  5. Nurse Practitioner
  6. NPI Profile

MINUTECLINIC DIAGNOSTIC OF MAINE, LLC
NPI 1063151769
Nurse Practitioner - Family in South Portland, ME

Active since June 01, 2022CLIA Certified · 15 labs
51 MARKET ST, SOUTH PORTLAND, ME 04106(866) 389-2727 Get Directions Write a Review

NPPES record last updated: June 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Minuteclinic Diagnostic Of Maine, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MINUTECLINIC DIAGNOSTIC OF MAINE, LLC (NPI 1063151769) is a healthcare organization registered as a family in South Portland, Maine and active in the NPI registry since June 2022. The organization holds 15 active CLIA laboratory certificates and lists Deborah Jean Pincince, Administrator, as its authorized official.

NPPES Registry Identity

NPI1063151769
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameMINUTECLINIC DIAGNOSTIC OF MAINE, LLC
Location Address51 MARKET STSouth Portland, ME 04106-3617
Mailing Address1 Cvs DrWoonsocket, RI 02895-6146
Phone(866) 389-2727
Organization SubpartNo
Authorized OfficialDeborah Jean PincinceAdministrator · (401) 770-3813
Enumeration DateJune 1, 2022
NPPES CertifiedMay 18, 2022
✔ NPI 1063151769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedFamily MedicineTaxonomy 207Q00000X
51 MARKET ST, South Portland, ME 04106
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 15

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D2080872

Minuteclinic Diagnostic Of Wisconsin, LLC (clinic #8763) · Milwaukee, WI
Active · expires Jul 15, 2028
CLIA Number52D2080872
Laboratory TypeLimited Service Health Ca
Certificate Effective DateJuly 16, 2026
Certificate Expiration DateJuly 15, 2028
Laboratory DirectorBeth Diviacchi
Laboratory Phone(866) 389-2727
Laboratory LocationMinuteclinic Diagnostic Of Wisconsin, LLC (clinic #8763)1650 N Farwell Ave, Milwaukee, WI 53202
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 29D2075620

Minuteclinic Diagnostic Of Nevada (clinic 02955) · Las Vegas, NV
Active · expires Mar 31, 2028
CLIA Number29D2075620
Laboratory TypeLimited Service Health Ca
Certificate Effective DateApril 1, 2026
Certificate Expiration DateMarch 31, 2028
Laboratory DirectorDavid Fairchild
Laboratory Phone(866) 389-2727
Laboratory LocationMinuteclinic Diagnostic Of Nevada (clinic 02955)3290 S Fort Apache Rd, Las Vegas, NV 89117
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 29D2075621

Minuteclinic Diagnostic Of Nevada (clinic 08784) · Las Vegas, NV
Active · expires Mar 31, 2028
CLIA Number29D2075621
Laboratory TypeLimited Service Health Ca
Certificate Effective DateApril 1, 2026
Certificate Expiration DateMarch 31, 2028
Laboratory DirectorDavid Fairchild
Laboratory Phone(866) 389-2727
Laboratory LocationMinuteclinic Diagnostic Of Nevada (clinic 08784)8116 S Las Vegas Blvd, Las Vegas, NV 89123
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 14D2068999

Minuteclinic Diagnostic Of Il, PLLC (clinic 03163) · Oak Park, IL
Active · expires Nov 14, 2027
CLIA Number14D2068999
Laboratory TypeLtd Svc Hlth Care Clinic
Certificate Effective DateNovember 15, 2025
Certificate Expiration DateNovember 14, 2027
Laboratory DirectorLyndsey Powell
Laboratory Phone(866) 389-2727
Laboratory LocationMinuteclinic Diagnostic Of Il, PLLC (clinic 03163)345 Madison St, Oak Park, IL 60302
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 14D1074896

Minuteclinic Diagnostic Of Il, PLLC (clinic 08750) · Chicago, IL
Active · expires Oct 8, 2027
CLIA Number14D1074896
Laboratory TypeLtd Svc Hlth Care Clinic
Certificate Effective DateOctober 9, 2025
Certificate Expiration DateOctober 8, 2027
Laboratory DirectorLyndsey Powell
Laboratory Phone(866) 389-2727
Laboratory LocationMinuteclinic Diagnostic Of Il, PLLC (clinic 08750)4801 N Central, Chicago, IL 60630
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 29D1072349

Minuteclinic Diagnostic Of Nevada (clinic 08795) · Henderson, NV
Active · expires Aug 13, 2027
CLIA Number29D1072349
Laboratory TypeLimited Service Health Ca
Certificate Effective DateAugust 14, 2025
Certificate Expiration DateAugust 13, 2027
Laboratory DirectorDavid Fairchild
Laboratory Phone(866) 389-2727
Laboratory LocationMinuteclinic Diagnostic Of Nevada (clinic 08795)2662 W Horizon Ridge Pkwy, Henderson, NV 89052
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NWANDO PRIAM RPH
Pharmacist
51 MARKET ST
SOUTH PORTLAND, ME 04106
Cumberland County (207) 799-8166
CVS STATE CAPITAL LLC
Pharmacy
51 MARKET ST
SOUTH PORTLAND, ME 04106
Cumberland County (207) 799-8166
SARA PARKER RPH
Pharmacist
51 MARKET ST
SOUTH PORTLAND, ME 04106
Cumberland County (207) 799-8166
MS. ANN A LOVEGREN FNP
Nurse Practitioner (Family)
51 MARKET ST
SOUTH PORTLAND, ME 04106
Cumberland County (866) 389-2727
DARYN SCOTT WATT RPH
Pharmacist
51 MARKET ST
SOUTH PORTLAND, ME 04106
Cumberland County (207) 799-8166
JENNIFER DODSON NP
Nurse Practitioner (Family)
51 MARKET ST
SOUTH PORTLAND, ME 04106
Cumberland County (207) 799-8166
DR. MICHAEL J NORTON PHARM D.
Pharmacist
51 MARKET ST
SOUTH PORTLAND, ME 04106
Cumberland County (207) 799-8166
KATHRYN MARY KENDALL FNP
Nurse Practitioner (Family)
51 MARKET ST
SOUTH PORTLAND, ME 04106
Cumberland County (866) 389-2727

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Minuteclinic Diagnostic Of Maine, LLC's NPI number?

The NPI number for Minuteclinic Diagnostic Of Maine, LLC is 1063151769. It was assigned to this organization in the NPPES registry on June 1, 2022.

Where is Minuteclinic Diagnostic Of Maine, LLC located?

Minuteclinic Diagnostic Of Maine, LLC is located at 51 Market St, South Portland, ME 04106. The listed phone number is (866) 389-2727.

What is Minuteclinic Diagnostic Of Maine, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Minuteclinic Diagnostic Of Maine, LLC hold CLIA laboratory certificates?

Yes. 15 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Minuteclinic Diagnostic Of Maine, LLC was last updated on June 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.