MAINE MOLECULAR IMAGING LLC
NPI 1285682591
Physiological Laboratory in Brunswick, ME

NPI Status: Active since May 05, 2006

Contact Information

123 MEDICAL CENTER DR
BRUNSWICK, ME
ZIP 04011
Phone: (800) 734-4132
Fax: (800) 273-2377

Get Directions Write a Review

  • Organization
  • Physiological Laboratory
  • Accepts Insurance
  • CLIA Number: 20D2092879
  • CLIA Cert. Type: Other - MOBILE PET/CT UNIT
  • CLIA Exp. Date: 03-15-2027

About MAINE MOLECULAR IMAGING LLC

This page provides the complete NPI Profile along with additional information for Maine Molecular Imaging Llc, a provider established in Brunswick, Maine operating as a Physiological Laboratory. The healthcare provider is registered in the NPI registry with number 1285682591 assigned on May 2006. The practitioner's primary taxonomy code is 293D00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Ramona L Ahern (Special Assistant Secretary)

NPI
1285682591
Provider Name
MAINE MOLECULAR IMAGING LLC
Entity Type
Organization
Location Address
123 MEDICAL CENTER DR BRUNSWICK, ME 04011
Location Phone
(800) 734-4132
Location Fax
(800) 273-2377
Mailing Address
PO BOX 414025 BOSTON, MA 02241
Mailing Phone
(949) 282-6000
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-05-2006
Last Update Date
08-26-2019
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physiological Laboratory

Taxonomy Code
293D00000X
Type
Laboratories
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Access Blue New England HMO 6000/20%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 7500/30%/10000 Value - HMO
  • Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
  • Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 3000/0%/7500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 500/30%/9000 - HMO
  • Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
  • Anthem Silver Access Blue New England HMO 2500/30%/10000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3500/20%/10000 - HMO
  • Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/9000 - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/9000 RxD - HMO
  • Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
  • Anthem Silver Access Blue New England HMO 4000/20%/8500 - HMO
  • NH Local Choice HMO Bronze 8000 + $0 Rx list + $0 Virtual Urgent Care - HMO
  • NH Local Choice HMO Gold + $0 Rx list + $0 Virtual Urgent Care - HMO
  • NH Local Choice HMO Gold 1400 + $0 Rx list + $0 Virtual Urgent Care - HMO
  • NH Local Choice HMO HSA Bronze 6000 - HMO
  • NH Local Choice HMO Silver 3500 + $0 Rx list + $0 Virtual Urgent Care - HMO
  • NH Local Choice HMO Silver 5000 + $0 Rx list + $0 Virtual Urgent Care - HMO
  • NH Local HMO Bronze 7500 Standard + $0 Rx list + $0 Virtual Urgent Care - HMO
  • NH Local HMO Gold 2000 Standard + $0 Rx list + $0 Virtual Urgent Care - HMO
  • NH Local HMO Silver 6000 Standard + $0 Rx list + $0 Virtual Urgent Care - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RAMONA L AHERN

Authorized Official Title
SPECIAL ASSISTANT SECRETARY
Authorized Official Phone
(952) 738-4441

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
170500000MEDICAID (05)ME 
470001736OTHER (01)MERAILROAD MEDICARE

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries

Fluorodeoxyglucose F-18 FDG is a radioactive drug used in PET scans. It helps doctors see how your tissues and organs are functioning. The drug is given in a specific dose, up to 45 millicuries, depending on your body size and the type of scan.

This service was performed 314 times for 260 patients

Nuclear medicine study from skull base to mid-thigh with ct scan

A nuclear medicine study from skull base to mid-thigh with a CT scan involves using a small amount of radioactive material and CT imaging to examine body tissues and organs. This helps detect any abnormalities by providing detailed images of the body's internal structure.

This service was performed 268 times for 221 patients

Nuclear medicine study whole body with ct scan

A Nuclear Medicine Study with a CT Scan is a diagnostic procedure. It uses a small amount of radioactive substance and a CT scan to create detailed images of your body. These images help doctors diagnose, monitor, and treat various conditions.

This service was performed 43 times for 37 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
20D2092879
Facility Type
Other - MOBILE PET/CT UNIT
Certificate Effective Date
March 16, 2025
Certificate Expiration Date
March 15, 2027
Laboratory Director
MICHAEL QUINN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Maine Molecular Imaging Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for MAINE MOLECULAR IMAGING LLC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1285682591, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
5
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
8
Unchanged
Pos 7
2
Doubled → 4
Pos 8
5
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 6 → 12 → 3 2 → 4 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 6 + 5 + 1 + 2 + 8 + 4 + 5 + 1 + 8 + 24 = 69

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1285682591.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Radiology (Diagnostic Radiology)
123 MEDICAL CENTER DR
BRUNSWICK, ME 04011
Radiology (Diagnostic Radiology)
123 MEDICAL CENTER DR
BRUNSWICK, ME 04011
Radiology (Diagnostic Radiology)
123 MEDICAL CENTER DR
BRUNSWICK, ME 04011
Psychologist
123 MEDICAL CENTER DR
BRUNSWICK, ME 04011
Physician Assistant (Medical)
123 MEDICAL CENTER DR, MID COAST HOSPITAL
BRUNSWICK, ME 04011
Emergency Medicine
123 MEDICAL CENTER DR
BRUNSWICK, ME 04011
Emergency Medicine
123 MEDICAL CENTER DR, MID COAST HOSPITAL
BRUNSWICK, ME 04011
Emergency Medicine
123 MEDICAL CENTER DR
BRUNSWICK, ME 04011
Physician Assistant
123 MEDICAL CENTER DR
BRUNSWICK, ME 04011
Emergency Medicine
123 MEDICAL CENTER DR
BRUNSWICK, ME 04011
Physical Therapist
123 MEDICAL CENTER DR
BRUNSWICK, ME 04011
Radiology (Diagnostic Radiology)
123 MEDICAL CENTER DR
BRUNSWICK, ME 04011
Registered Nurse (Lactation Consultant)
123 MEDICAL CENTER DR, LACTATION SERVICES
BRUNSWICK, ME 04011
Registered Nurse (Lactation Consultant)
123 MEDICAL CENTER DR
BRUNSWICK, ME 04011
Dietitian, Registered
123 MEDICAL CENTER DR
BRUNSWICK, ME 04011
Pathology (Anatomic Pathology & Clinical Pathology)
123 MEDICAL CENTER DR
BRUNSWICK, ME 04011
Hospitalist
123 MEDICAL CENTER DR
BRUNSWICK, ME 04011
Nurse Anesthetist, Certified Registered
123 MEDICAL CENTER DR
BRUNSWICK, ME 04011
Anesthesiology
123 MEDICAL CENTER DR
BRUNSWICK, ME 04011
Pathology (Anatomic Pathology & Clinical Pathology)
123 MEDICAL CENTER DR
BRUNSWICK, ME 04011

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285682591, enumerated as an "organization" on May 05, 2006.

The provider is located at 123 MEDICAL CENTER DR BRUNSWICK, ME 04011 and the phone number is (800) 734-4132.

Physiological Laboratory with taxonomy code 293D00000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Harvard Pilgrim. Please consult your insurance carrier or call the provider to verify.