| NPI | 1558347567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACE D KELLER Treasurer 724-925-2280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Additional Taxonomies | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2020-08-22 |