SHIELDS PET/CT AT CMMC, LLC
NPI 1982153052
Clinic/Center - Radiology, Mobile in Lewiston, ME

Q: What is Shields Pet/Ct At Cmmc, LLC's NPI number?

The NPI number for Shields Pet/Ct At Cmmc, LLC is 1982153052. It was assigned to this organization in the NPPES registry on September 29, 2016.

Q: What is Shields Pet/Ct At Cmmc, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, Mobile, with taxonomy code 261QR0208X.

Active since September 29, 2016CLIA 20D2289883 · Waiver

300 MAIN ST, LEWISTON, ME 04240(866) 258-4738(866) 662-4700 Get Directions Write a Review

NPPES record last updated: April 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 17, 2026, Mar 19, 2026, Jun 9, 2025 and 2 more (5 updates tracked since 2016).

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About Shields Pet/ct At Cmmc, Llc NPPES

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

SHIELDS PET/CT AT CMMC, LLC (NPI 1982153052) is a healthcare organization registered as a radiology, mobile in Lewiston, Maine and active in the NPI registry since September 2016. The organization holds a CLIA Waiver certificate valid through September 17, 2027 and lists Kristen Delmore, Ceo, as its authorized official.

NPPES Registry Identity

NPI1982153052

Entity TypeOrganization

Primary Taxonomy261QR0208X

Legal Business NameSHIELDS PET/CT AT CMMC, LLC

Location Address300 MAIN STLewiston, ME 04240-7027

Mailing Address700 Congress St Ste 204Quincy, MA 02169-0928

Phone(866) 258-4738

Fax(866) 662-4700

Organization SubpartNo

Authorized OfficialKristen DelmoreCeo · (617) 376-7400

Enumeration DateSeptember 29, 2016

Last NPPES UpdateApril 17, 20265 updates tracked since enumeration

NPPES CertifiedApril 17, 2026

✔ NPI 1982153052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Radiology, MobileAmbulatory Health Care Facilities

Taxonomy Code261QR0208X

300 MAIN ST, Lewiston, ME 04240

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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 20D2289883

Shields Pet/Ct At Cmmc, LLC · Lewiston, ME

Active · expires Sep 17, 2027

CLIA Number20D2289883

Laboratory TypeClinic (mobile Pet/Ct)

Certificate Effective DateSeptember 18, 2025

Certificate Expiration DateSeptember 17, 2027

Laboratory DirectorStephen T. Sweriduk

Laboratory Phone(617) 376-7416

Laboratory LocationShields Pet/Ct At Cmmc, LLC300 Main St, Lewiston, ME 04240

CLIA data matches this NPI record on: Address 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.

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.

315 services34 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.

199 services174 patients

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.

191 services166 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.

28 services26 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.

ANGELA WOOD CRNA

Nurse Anesthetist, Certified Registered

300 MAIN ST, CENTRAL MAINE MEDICAL CENTER
LEWISTON, ME 04240

Androscoggin County (207) 795-0111

DANA MCCOY PT

Physical Therapist