| NPI | 1083765739 |
|---|---|
| Other Name | PHYSICIANCARE IMAGING CENTER |
| Entity Type | Organization |
| Authorized Contact | LAWRENCE TAMA President/Owner 570-265-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Additional Taxonomies | 247100000X Radiologic Technologist |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2012-08-09 |