| NPI | 1548648272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY L MULL Director System Credentialing 570-271-6144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Additional Taxonomies | 282N00000X General Acute Care Hospital |
| 2085U0001X Radiology, Diagnostic Ultrasound | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2015-05-15 |