Active NPI
Maine Diagnostic Imaging, PA
- Diagnostic Radiology Physician
- Farmington, ME
National Provider Identifier
1285873646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- MAINE DIAGNOSTIC IMAGING, PA
- Practice address
- 111 Franklin Health CMNS
Farmington, ME 04938-6144 - Phone
- (207) 778-6031
- NPI assigned
- Feb 9, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Byung J. Kim, MD
- Title
- President
- Phone
- (207) 778-6031
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
111 Franklin Health CMNS
Farmington, ME 04938-6144
Mailing address
PO Box 1849
Lewiston, ME 04241-1849
Phone (207) 784-2554
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234137600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1234137600000",
"number": "1285873646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1849",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042411849",
"telephone_number": "207-784-2554",
"fax_number": "207-777-5363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 FRANKLIN HEALTH CMNS",
"city": "FARMINGTON",
"state": "ME",
"postal_code": "049386144",
"telephone_number": "207-778-6031"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAINE DIAGNOSTIC IMAGING, PA",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-09",
"last_updated": "2009-02-09",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "BYUNG",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "207-778-6031",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmington, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.