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

Active since June 01, 2022CLIA Certified · 113 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: September 13, 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 113 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 113

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 10D1089689

Minuteclinic, LLC · Palm Beach Gardens, FL
Active · expires Sep 23, 2028
CLIA Number10D1089689
Laboratory TypeLimited Service Clinic
Certificate Effective DateSeptember 24, 2026
Certificate Expiration DateSeptember 23, 2028
Laboratory DirectorLorraine Hendricksen
Laboratory Phone(866) 389-2727
Laboratory LocationMinuteclinic, LLC11000 N Military Trl, Palm Beach Gardens, FL 33410
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D1087463

Minuteclinic LLC · Miami Beach, FL
Active · expires Aug 4, 2028
CLIA Number10D1087463
Laboratory TypeLs Health Care Clinic
Certificate Effective DateAugust 5, 2026
Certificate Expiration DateAugust 4, 2028
Laboratory DirectorAlina Pastoriza Garcia
Laboratory Phone(866) 389-2727
Laboratory LocationMinuteclinic LLC312 Lincoln Rd, Miami Beach, FL 33139
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D1087471

Minuteclinic, LLC · Fort Lauderdale, FL
Active · expires Aug 4, 2028
CLIA Number10D1087471
Laboratory TypeLimited Service Hcc
Certificate Effective DateAugust 5, 2026
Certificate Expiration DateAugust 4, 2028
Laboratory DirectorAlina Pastoriza Garcia
Laboratory Phone(866) 389-2727
Laboratory LocationMinuteclinic, LLC1700 S Federal Hwy, Fort Lauderdale, FL 33316
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2009576

Minuteclinic LLC · Boynton Beach, FL
Active · expires Jul 7, 2028
CLIA Number10D2009576
Laboratory TypeLimited Hcc
Certificate Effective DateJuly 8, 2026
Certificate Expiration DateJuly 7, 2028
Laboratory DirectorLorraine Hendricksen
Laboratory Phone(866) 389-2727
Laboratory LocationMinuteclinic LLC650 N Congress Ave, Boynton Beach, FL 33426
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D1080788

Minuteclinic LLC · Saint Augustine, FL
Active · expires Mar 2, 2028
CLIA Number10D1080788
Laboratory TypeOther
Certificate Effective DateMarch 3, 2026
Certificate Expiration DateMarch 2, 2028
Laboratory DirectorAmeena Nathan
Laboratory Phone(866) 389-2727
Laboratory LocationMinuteclinic LLC2703 N Ponce De Leon Blvd, Saint Augustine, FL 32084
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D1080789

Minuteclinic LLC · Macclenny, FL
Active · expires Mar 2, 2028
CLIA Number10D1080789
Laboratory TypeOther
Certificate Effective DateMarch 3, 2026
Certificate Expiration DateMarch 2, 2028
Laboratory DirectorAmeena Nathan
Laboratory Phone(866) 389-2727
Laboratory LocationMinuteclinic LLC121 W Macclenny Ave, Macclenny, FL 32063
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 13

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
HEATHER DEANE
Pharmacist
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

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. 113 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.