Organization
SCRANTON CARBONDALE IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY FARLEY MD (SOLE MEMBER)
(570) 815-6550
Entity
Organization
Contact information
Practice address
100 LINCOLN AVE, CARBONDALE, PA 18407-2116
(570) 281-1315
Mailing address
105 WAVERLY CIR, CLARKS SUMMIT, PA 18411-8887
(570) 815-6550
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Enumeration date
06/10/2008
Last updated
06/10/2008
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