Organization
CENTRE DIAGNOSTIC IMAGING, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY ROSS WEIMER MD (PRESIDENT)
(814) 231-7000
Entity
Organization
Contact information
Practice address
1800 E PARK AVE, STATE COLLEGE, PA 16803-6701
(814) 234-6137
(814) 234-6795
Mailing address
PO BOX 197, STATE COLLEGE, PA 16804-0197
(814) 235-1526
(814) 235-1566
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
—
2085N0904X
Nuclear Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001060003
—
PA
Enumeration date
06/20/2005
Last updated
05/15/2008
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