Leroy D Weaver in Mishawaka - Diagnostic Ultrasound

Leroy D Weaver - NPI 1710950258

Leroy D Weaver is a Diagnostic Ultrasound in Mishawaka, Indiana. Leroy D Weaver practices all healthcare services and medical treatments related to Diagnostic Ultrasound. The NPI Number for Leroy D Weaver is 1710950258. The last update date is 2013-05-16.

Leroy D Weaver's current location address is 620 W Edison Rd, Mishawaka, Indiana. You can contact this provider via phone number 5742581100 and fax number 5742581101. The mailing address for Leroy D Weaver is 620 W Edison Rd, Mishawaka, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Leroy D Weaver
Address 620 W Edison Rd, Mishawaka, Indiana
Phone Number 5742581100
Fax Number 5742581101
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1710950258
Provider Enumeration Date 2006-02-07
Last Updated Date 2013-05-16

Provider Mailing Address Detail

Address 620 W Edison Rd
City Mishawaka
State Indiana (IN)
Post Code 465452784
Phone Number 5742581100
Fax Number 5742581101

Provider's Primary Taxonomy Detail

Speciality Diagnostic Ultrasound
Taxonomy 2085U0001X
Licence No 01060476A
Definition:
A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
200809390 IN --

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FAQs about Leroy D Weaver

What is the unique identification code assigned to Leroy D Weaver by the Centers for Medicare & Medicaid Services?

The Leroy D Weaver has been issued the NPI (National Provider Identifier) 1710950258. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Leroy D Weaver's facilities are geographically located?

The facilities of Leroy D Weaver are physically situated at the following location: 620 W Edison Rd, Mishawaka, IN, 465452784.

What is Leroy D Weaver's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Leroy D Weaver is Diagnostic Ultrasound, and the taxonomy code that classifies this field of practice is 2085U0001X.

On what date was the 1710950258 assigned to Leroy D Weaver?

The Leroy D Weaver was issued its 1710950258 on 2006-02-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Leroy D Weaver most recently updated?

The details pertaining to the Leroy D Weaver, including its address, specialty, and other relevant information, were last refreshed on 2013-05-16.

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