SHIELDS PET/CT AT CMMC LLC NPI 1982153052

NPI Information

  • NPI: 1982153052
  • Provider Name: SHIELDS PET/CT AT CMMC, LLC
  • Classification: Clinic/Center - 261QR0208X
  • Specialization: Radiology, Mobile
  • Entity Type: Organization
  • Address: 300 MAIN ST
    LEWISTON, ME
    ZIP 04240
  • Phone: (866) 258-4738

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NPI Details

SHIELDS PET/CT AT CMMC, LLC is a radiology and mobile clinic center in Lewiston, ME. SHIELDS PET/CT AT CMMC, LLC NPI is 1982153052. The provider is registered as an organization entity type.

The provider's business location address is:

300 MAIN ST
LEWISTON, ME
ZIP 04240-027
Phone: (866) 258-4738
Fax: (866) 662-4700

The provider's authorized official is Kristen Delmore .
The authorized official title is Ceo and has the following contact phone number (617) 376-7400.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Piflufolastat f-18, diagnostic, 1 millicurie (HCPCS:A9595)
  • Nuclear medicine study from skull base to mid-thigh with ct scan (HCPCS:78815)
  • Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries (HCPCS:A9552)

The enumeration date for this NPI number is 9/29/2016 and was last updated on 6/9/2025.

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
1261QR0208XClinic/CenterRadiology, MobileYes

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: 11/21/2025

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