| NPI | 1770960130 |
|---|---|
| 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 |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2021-08-05 |