New England Molecular Imaging LLC

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

License

01601 Issued in ME

Legal business name

NEW ENGLAND MOLECULAR IMAGING LLC

Practice address

300 Main St
Lewiston, ME 04240-7007

Phone

(207) 795-0111

NPI assigned

Jun 19, 2006

Last updated

Oct 19, 2016By the provider in NPPES

Organization subpart

No

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

Addresses

Other identifiers 5

Member of 1

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

• Alliance Healthcare Services Inc

  • Mobile Radiology Clinic/Center
  • Evanston, IL
  • NPI 1083657332

  Member Of

  NPD member

Practitioners 1

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.

• Diane Lynn Dunne, PH.D.

  • Clinical Psychologist
  • Newport Beach, CA
  • NPI 1699988113
  NPD (past)

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476835200000",
    "number": "1982649158",
    "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": "300 MAIN ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407007",
            "telephone_number": "207-795-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ENGLAND MOLECULAR IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "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": "7695348",
            "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": "HARVARD PILGRIM HLTH CARE",
            "identifier": "800942",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "043913",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William F Nevins, PMHNP
• New Beginnings, Inc.
• New Dawn Behavioral Health LLC
• New England Brace Co., Inc.
• New England Community Care
• New Mainers Public Health Initiative
• Miranda Lee New, PT
• Jessica E Newcomb, DNP, CRNA, APRN
• Kenda Newman, OTR/L
• Cristina Newsom, PMHNP-BC

• 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 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.

Verify at the official NPI Registry.