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

Active since May 05, 2006CLIA 20D2092879 · Waiver
123 MEDICAL CENTER DR, BRUNSWICK, ME 04011(800) 734-4132(800) 273-2377 Get Directions Write a Review

NPPES record last updated: August 26, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Maine Molecular Imaging Llc NPPES

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

MAINE MOLECULAR IMAGING LLC (NPI 1285682591) is a healthcare organization registered as a physiological laboratory in Brunswick, Maine and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through March 15, 2027 and lists Ramona L Ahern, Special Assistant Secretary, as its authorized official.

NPPES Registry Identity

NPI1285682591
Entity TypeOrganization
Primary Taxonomy293D00000X
Legal Business NameMAINE MOLECULAR IMAGING LLC
Location Address123 MEDICAL CENTER DRBrunswick, ME 04011-2652
Mailing AddressPo Box 414025Boston, MA 02241-4025 · (949) 282-6000
Phone(800) 734-4132
Fax(800) 273-2377
Organization SubpartNo
Authorized OfficialRamona L AhernSpecial Assistant Secretary · (952) 738-4441
Enumeration DateMay 5, 2006
Last NPPES UpdateAugust 26, 2019
✔ NPI 1285682591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysiological LaboratoryLaboratories
Taxonomy Code293D00000X
Definition

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.

123 MEDICAL CENTER DR, Brunswick, ME 04011
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Other Identifiers 2

Medicaid170500000ME
Other470001736ME · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 20D2092879

Maine Molecular Imaging · Brunswick, ME
Active · expires Mar 15, 2027
CLIA Number20D2092879
Laboratory TypeMobile Pet/Ct Unit
Certificate Effective DateMarch 16, 2025
Certificate Expiration DateMarch 15, 2027
Laboratory DirectorMichael Quinn
Laboratory Phone(207) 542-2308
Laboratory LocationMaine Molecular Imaging2 Admiral Fitch Ave, Ste A, Brunswick, ME 04011
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries A9552
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.
241 services205 patients
Nuclear medicine study from skull base to mid-thigh with ct scan 78815
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.
223 services193 patients
Piflufolastat f-18, diagnostic, 1 millicurie A9595
Piflufolastat F-18 is a radioactive diagnostic agent used in PET scans. It helps visualize certain cells in your body, aiding doctors in diagnosing specific conditions. This service involves injecting 1 millicurie of the agent into your body.
145 services14 patients
Nuclear medicine study whole body with ct scan 78816
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.
32 services25 patients

Other Providers at the Same Location NPPES 20

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

ELIZABETH BURGESS HAWKSLEY CRNA
Nurse Anesthetist, Certified Registered
123 MEDICAL CENTER DR
BRUNSWICK, ME 04011
Cumberland County (207) 373-6000
PEGGY BEAULIEU SLP
Speech-Language Pathologist
123 MEDICAL CENTER DR
BRUNSWICK, ME 04011
Cumberland County (207) 373-6175
DR. JONATHAN TAYLOR GRAMMER MD
Emergency Medicine
123 MEDICAL CENTER DR
BRUNSWICK, ME 04011
Cumberland County (207) 373-6000
DR. KEVIN DUMAS PHARMD
Pharmacy (Institutional Pharmacy)
123 MEDICAL CENTER DR
BRUNSWICK, ME 04011
Cumberland County (207) 373-6576
PHILIP S CRICHTON M.D.
Radiology (Diagnostic Radiology)
123 MEDICAL CENTER DR
BRUNSWICK, ME 04011
Cumberland County (207) 373-6637
ANDREW L RABINOWITZ MD
Anesthesiology
123 MEDICAL CENTER DR
BRUNSWICK, ME 04011
Cumberland County (207) 373-6000
DR. NIKLAS GLENESK MD
Anesthesiology
123 MEDICAL CENTER DR
BRUNSWICK, ME 04011
Cumberland County (207) 373-6000
ABIGAIL MEAD RIVERS PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
123 MEDICAL CENTER DR
BRUNSWICK, ME 04011
Cumberland County (207) 373-6000

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 Maine Molecular Imaging LLC's NPI number?

The NPI number for Maine Molecular Imaging LLC is 1285682591. It was assigned to this organization in the NPPES registry on May 5, 2006.

Where is Maine Molecular Imaging LLC located?

Maine Molecular Imaging LLC is located at 123 Medical Center Dr, Brunswick, ME 04011. The listed phone number is (800) 734-4132.

What is Maine Molecular Imaging LLC's specialty?

The primary specialty registered for this NPI is Physiological Laboratory with taxonomy code 293D00000X.

Does Maine Molecular Imaging LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 20D2092879) is associated with this NPI, valid through March 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Maine Molecular Imaging LLC accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Maine Molecular Imaging LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Maine Molecular Imaging LLC was last updated on August 26, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.