Shields Pet/Ct At Cmmc, LLC
Clinic/Center, Radiology, Mobile in Lewiston, ME. Organization (NPI-2).
NPI number1982153052
StatusActive
Last updated in NPPESApr 17, 2026
Details
- NPI
- 1982153052
- Entity type
- Organization (NPI-2)
- Legal business name
- Shields Pet/Ct At Cmmc, LLC
- Organization subpart
- No
- Enumeration date
- Sep 29, 2016
- Certification date
- Apr 17, 2026
- Last updated
- Apr 17, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0208X | Clinic/Center, Radiology, Mobile | – | – | Yes |
Practice location
300 Main StLewiston, ME 04240-7027
Phone 866-258-4738 · Fax 866-662-4700
Mailing address
700 Congress St Ste 204Quincy, MA 02169-0928
Authorized official
Kristen Delmore
Ceo
6173767400
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