SHIELDS PET/CT AT CMMC, LLC
NPI 1982153052
Clinic/Center - Radiology, Mobile in Lewiston, ME
NPI Status: Active since September 29, 2016
Contact Information
300 MAIN ST
LEWISTON, ME
ZIP 04240
Phone: (866) 258-4738
Fax: (866) 662-4700
- Organization
- Clinic/Center
- Radiology, Mobile
- Accepts Insurance
- CLIA Number: 20D2289883
- CLIA Cert. Type: Other - CLINIC (MOBILE PET/CT)
- CLIA Exp. Date: 09-17-2027
About SHIELDS PET/CT AT CMMC, LLC
This page provides the complete NPI Profile along with additional information for Shields Pet/ct At Cmmc, Llc, a provider established in Lewiston, Maine operating as a Clinic/center, focusing in radiology, mobile . The healthcare provider is registered in the NPI registry with number 1982153052 assigned on September 2016. The practitioner's primary taxonomy code is 261QR0208X. The provider is registered as an organization and their NPI record was last updated April 2026. The authorized official of this NPI record is Kristen Delmore (Ceo)
- NPI
- 1982153052
- Provider Name
- SHIELDS PET/CT AT CMMC, LLC
- Entity Type
- Organization
- Location Address
- 300 MAIN ST LEWISTON, ME 04240
- Location Phone
- (866) 258-4738
- Location Fax
- (866) 662-4700
- Mailing Address
- 700 CONGRESS ST STE 204 QUINCY, MA 02169
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-29-2016
- Last Update Date
- 04-17-2026
- 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
Clinic/Center Radiology, Mobile
- Taxonomy Code
- 261QR0208X
- Type
- Ambulatory Health Care Facilities
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
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
Nuclear medicine study from skull base to mid-thigh with ct scan
Nuclear medicine study whole body with ct scan
Piflufolastat f-18, diagnostic, 1 millicurie
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 157 times for 137 patientsA 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 165 times for 142 patientsA 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 28 times for 26 patientsPiflufolastat 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.
This service was performed 297 times for 31 patientsCLIA 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
- 20D2289883
- Facility Type
- Other - CLINIC (MOBILE PET/CT)
- Certificate Effective Date
- September 18, 2025
- Certificate Expiration Date
- September 17, 2027
- Laboratory Director
- STEPHEN T. SWERIDUK
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Shields Pet/ct At Cmmc, 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.
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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 1982153052, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 58 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
LEWISTON, ME 04240
LEWISTON, ME 04240
LEWISTON, ME 04240
LEWISTON, ME 04240
LEWISTON, ME 04240
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1982153052, enumerated as an "organization" on September 29, 2016.
The provider is located at 300 MAIN ST LEWISTON, ME 04240 and the phone number is (866) 258-4738.
Clinic/Center with taxonomy code 261QR0208X and a focus in Radiology, Mobile.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield and Harvard. Please consult your insurance carrier or call the provider to verify.
