MAINE MOLECULAR IMAGING LLC NPI 1316995632

NPI Information

  • NPI: 1316995632
  • Provider Name: MAINE MOLECULAR IMAGING LLC
  • Classification: Physiological Laboratory - 293D00000X
  • Entity Type: Organization
  • Address: 46 FAIRVIEW AVE
    SKOWHEGAN, ME
    ZIP 04976
  • Phone: (800) 734-4132

Map and Directions

Get Directions

NPI Details

MAINE MOLECULAR IMAGING LLC is a physiological laboratory in Skowhegan, ME. The provider is 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. MAINE MOLECULAR IMAGING LLC NPI is 1316995632. The provider is registered as an organization entity type.

The provider's business location address is:

46 FAIRVIEW AVE
SKOWHEGAN, ME
ZIP 04976-481
Phone: (800) 734-4132
Fax: (800) 273-2377

The provider's authorized official is Brian G Drazba .
The authorized official title is Senior V.p. & Chief Accounting Ofcr and has the following contact phone number (949) 282-6000.

The enumeration date for this NPI number is 5/5/2006 and was last updated on 10/5/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1293D00000XPhysiological LaboratoryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1327078MEDICARE PINMAINE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.