Organization
INDEPENDENT LOOK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY JACKSON RDMS, RVT (OWNER/TECHNOLOGIST)
(570) 235-1667
Entity
Organization
Contact information
Practice address
1155 HIGHWAY 315 BLVD, WILKES BARRE, PA 18702-6928
(570) 235-1667
(570) 235-1667
Mailing address
1155 HIGHWAY 315 BLVD, WILKES BARRE, PA 18702-6928
(570) 235-1667
(570) 235-1667
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
—
—
2471V0105X
Vascular Sonography Radiologic Technologist
—
—
Other
Enumeration date
02/10/2026
Last updated
02/10/2026
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