NPIMap

Organization Active NPI

Maine Mobile MRI Assoc

Doing business as Maine MRI Associates

  • Diagnostic Radiology Physician
  • Augusta, ME
National Provider Identifier
1235567843
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
MAINE MOBILE MRI ASSOC
Doing business as
Maine MRI Associates
Practice address
35 Medical Center Pkwy Ste A1606
Augusta, ME 04330-8160
Phone
(207) 626-1499
NPI assigned
Oct 16, 2013
Last updated
Nov 14, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
MAINE MOBILE MRI ASSOCIATESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joseph T Laverdiere, MDNPI 1407828841
Title
Authorized Official
Phone
(207) 626-1499

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

35 Medical Center Pkwy Ste A1606
Augusta, ME 04330-8160

Mailing address

PO Box 986520
Boston, MA 02298-6520
Phone (207) 626-1499

Other names 1

  • Maine MRI Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140324001801 ME Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 0042274086 Practice locations: Augusta, ME
O20250403001649 ME Part B Supplier - Clinic/Group Practice 0042274086 Receives reassigned benefits from 9 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Portland, ME; Waterville, ME; Winthrop, ME; Yarmouth, ME; Manchester, ME; Augusta, ME; Cumberland, ME; Hallowell, ME

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Maine Mobile MRI Associates

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

35 Medical Center Pkwy
Ste A1606
Augusta, ME 04330
Phone (207) 626-1499

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1381881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763078400000",
    "number": "1235567843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 986520",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022986520",
            "telephone_number": "207-626-1499",
            "fax_number": "207-777-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 MEDICAL CENTER PKWY STE A1606",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043308160",
            "telephone_number": "207-626-1499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINE MOBILE MRI ASSOC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAINE MOBILE MRI ASSOCIATES",
        "enumeration_date": "2013-10-16",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A",
        "authorized_official_last_name": "LAVERDIERE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "207-626-1499",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maine MRI Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Augusta, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.