Shields Pet/CT at CMMC, LLC

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

Legal business name

SHIELDS PET/CT AT CMMC, LLC

Practice address

300 Main St
Lewiston, ME 04240-7027

Phone

(866) 258-4738

Fax

(866) 662-4700

NPI assigned

Sep 29, 2016

Organization subpart

No

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

Authorized official

Name

Kristen Delmore

Title

Ceo

Phone

(617) 376-7400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeremy B Duda, M.D.

  • Diagnostic Radiology Physician
  • Lewiston, ME
  • NPI 1073785580
  NPD
• Gregory S Friedel, MD

  • Diagnostic Radiology Physician
  • Lewiston, ME
  • NPI 1093892218
  NPD
• Michael B Miller, M.D.

  • Neuroradiology Physician
  • Lewiston, ME
  • NPI 1114907623
  NPD
• Michael Samuel, M.D.

  • Diagnostic Radiology Physician
  • Bangor, ME
  • NPI 1275996779
  NPD
• Giustino Patrizio Luca Albanese, M.D.

  • Diagnostic Radiology Physician
  • Madison, WI
  • NPI 1265634307
  NPD
• John J. Harris Jr., M.D.

  • Diagnostic Radiology Physician
  • Aurora, CO
  • NPI 1013276492
  NPD
• Timothy L Stoner, M.D.

  • Diagnostic Radiology Physician
  • Eden Prairie, MN
  • NPI 1790764959
  NPD
• Stephen T Sweriduk, M.D.

  • Diagnostic Radiology Physician
  • Brockton, MA
  • NPI 1134126105
  NPD

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

{
    "created_epoch": "1475107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776384000000",
    "number": "1982153052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 CONGRESS ST STE 204",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021690928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MAIN ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407027",
            "telephone_number": "866-258-4738",
            "fax_number": "866-662-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIELDS PET/CT AT CMMC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-29",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A",
        "authorized_official_last_name": "DELMORE",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "617-376-7400"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George R Sheckart, PHD
• Rosemarie G Sheline, DDS
• Karen Shepard
• Cheryl A Sherman, PA-C
• Sloane Shevrin, CCC-SLP
• Oscar Jo Yi Shima
• Shine Above LLC
• Liliia Shuel, PMHNP-BC
• Margaret Shute, LMSW-CC
• David M Simms, M.D.

• Mobile Radiology Clinic/Center in Lewiston, ME
• Providers in Lewiston, ME by specialty
• Mobile Radiology Clinic/Center in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.