# SHIELDS PET/CT AT CMMC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982153052
- **Authorized official:** KRISTEN DELMORE (CEO)
- **Authorized official phone:** (617) 376-7400

## Contact information

- **Practice address:** 300 MAIN ST, LEWISTON, ME 04240-7027
- **Practice address phone:** (866) 258-4738
- **Practice address fax:** (866) 662-4700
- **Mailing address:** 700 CONGRESS ST STE 204, QUINCY, MA 02169-0928

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0208X | Mobile Radiology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/29/2016
- **Last updated:** 04/17/2026