| NPI | 1073295374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE PHILIPPS Director Of Operations 570-491-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center Radiology, Mobile |
| Enumeration Date | 2023-08-04 |
| Last Update Date | 2023-08-04 |