| NPI | 1770435141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY JACKSON Owner/Technologist 570-235-1667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085U0001X Radiology, Diagnostic Ultrasound |
| Additional Taxonomies | 2471V0105X Radiologic Technologist, Vascular Sonography |
| Enumeration Date | 2026-02-10 |
| Last Update Date | 2026-02-10 |