NPIMap

Organization Active NPI

New England Molecular Imaging LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Dover, NH
National Provider Identifier
1477358372
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
Legal business name
NEW ENGLAND MOLECULAR IMAGING LLC
Practice address
15 Durham Rd
Dover, NH 03820-4380
Phone
(603) 537-1363
NPI assigned
Feb 14, 2025
Last updated
Feb 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Authorized official

Name
Greg Gambill
Title
VP and Associate General Counsel
Phone
(303) 414-2037

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X Primary

Addresses

Primary practice location

15 Durham Rd
Dover, NH 03820-4380

Mailing address

PO Box 735651
Dallas, TX 75373-5651

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250425000100 NH Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1850378969 Practice locations: Dover, NH

Other NPIs with the same Medicare PAC ID 7

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

National Provider Directory

National Provider Directory
Tax ID family
New England Molecular Imaging LLC9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

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

Locations

15 Durham Rd
Dover, NH 03820
Phone (603) 537-1363

15 Durham Rd
Ste LL006
Dover, NH 03820
Phone (603) 537-1363

6 Old Fremont Road Ext
Ste 104
Raymond, NH 03077
Phone (603) 537-1363

Practitioners & affiliated clinicians

Practitioners 8

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": "1739491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739491200000",
    "number": "1477358372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 735651",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753735651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 DURHAM RD",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038204380",
            "telephone_number": "603-537-1363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ENGLAND MOLECULAR IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-14",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A",
        "authorized_official_last_name": "GAMBILL",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "VP AND ASSOCIATE GENERAL COUNSEL",
        "authorized_official_telephone_number": "303-414-2037"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 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.