Organization Name: | CENTRE DIAGNOSTIC IMAGING, PC |
NPI Number: | 1306841929 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GREGORY ROSS WEIMER (PRESIDENT) |
Mailing Address: | 1800 E Park Ave State College |
State: | PA US |
Postal Code: | 168036701 |
Phone Number: | 8142346137 |
Fax Number: | 8142346795 |
NPI Enumeration Date: | 06/20/2005 |
NPI Last Update Date: | 05/15/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |