Provider First Line Business Practice Location Address: 
1301 CARLISLE ST
    Provider Second Line Business Practice Location Address: 
DEPT OF RADIOLOGY
    Provider Business Practice Location Address City Name: 
NATRONA HEIGHTS
    Provider Business Practice Location Address State Name: 
PA
    Provider Business Practice Location Address Postal Code: 
15065
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
721-334-4774
    Provider Business Practice Location Address Fax Number: 
724-334-4776
    Provider Enumeration Date: 
06/07/2006