| NPI | 1114188166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNNE BUTLER Biller 570-655-1549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246XS1301X Spec/Tech, Cardiovascular, Sonography (Licence: PA 9499E) |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2009-12-07 |