MEDICARE: MERCY MEDICAL IMAGING ASSOCIATES,PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	2085B0100X	Body Imaging Physician
2	2085N0904X	Nuclear Radiology Physician
3	2085R0202X	Diagnostic Radiology Physician
4	2085R0204X	Vascular & Interventional Radiology Physician
5	2085U0001X	Diagnostic Ultrasound Physician

General Provider Information

NPI Number	:	1003811621
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MERCY MEDICAL IMAGING ASSOCIATES,PC

Provider Business Mailing Address
First Line	:	PO BOX 197
Second Line	:
City	:	STATE COLLEGE
State	:	PA
Zip	:	16804-0197
Country	:	US
Telephone Number	:	814-235-1526
Fax Number	:	814-235-1566

Provider Business Practice Location Address
First Line	:	400 HIGHLAND AVE
Second Line	:
City	:	LEWISTOWN
State	:	PA
Zip	:	17044-1167
Country	:	US
Telephone Number	:	717-248-5411
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ROBERT LEVIN
Credential	:	MD
Telephone Number	:	717-242-7289

Provider Enumeration Date	:	06/20/2005
Last Update Date	:	09/11/2025

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