Active NPI
New England Molecular Imaging LLC
- Mobile Radiology Clinic/Center
- York, ME
National Provider Identifier
1730122508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mobile Radiology Clinic/Center
- License
- 01601
- Legal business name
- NEW ENGLAND MOLECULAR IMAGING LLC
- Practice address
- 15 Hospital Dr
York, ME 03909-1011 - Phone
- (207) 363-4321
- NPI assigned
- Jun 13, 2006
- 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
- Rhonda Longmore Grund
- Title
- Exec VP & Cfo
- Phone
- (800) 544-3215
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mobile Radiology Clinic/Center | 261QR0208X | 01601 | ME | Primary |
Addresses
Primary practice location
15 Hospital Dr
York, ME 03909-1011
Mailing address
100 Bayview Circle
Suite 400
Newport Beach, CA 92660-2984
Phone (800) 544-3215
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 166060000 | Medicaid | ME | |
| 2811694 | Other | ME | AETNA |
| 800942 | Other | ME | HARVARD PILGRIM HLTH CARE |
| 129019400 | Other | ME | U.S. DEPT OF LABOR OWCP |
| 043913 | Other | ME | ANTHEM BLUE CROSS |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1476835200000",
"number": "1730122508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 BAYVIEW CIRCLE",
"address_2": "SUITE 400",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926602984",
"telephone_number": "800-544-3215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 HOSPITAL DR",
"city": "YORK",
"state": "ME",
"postal_code": "039091011",
"telephone_number": "207-363-4321"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW ENGLAND MOLECULAR IMAGING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-13",
"last_updated": "2016-10-19",
"status": "A",
"authorized_official_last_name": "LONGMORE GRUND",
"authorized_official_first_name": "RHONDA",
"authorized_official_title_or_position": "EXEC VP & CFO",
"authorized_official_telephone_number": "800-544-3215"
},
"taxonomies": [
{
"code": "261QR0208X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology, Mobile",
"state": "ME",
"license": "01601",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "166060000",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2811694",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HLTH CARE",
"identifier": "800942",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "U.S. DEPT OF LABOR OWCP",
"identifier": "129019400",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS",
"identifier": "043913",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in York, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.