National Provider Identifier Database

PK XRAY INC
Radiologic Technologist

A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.


Contact Information

PK XRAY, INC
3379A GREEN ACRES RD
SPRINGDALE, AR72764-0236
Phone: 918-683-9729
Fax: 918-683-1012
Website:
Specialty Taxonomy Code
* Radiologic Technologist 247100000X

* Indicates primary specialty

NPI Profile & details for PK XRAY, INC

NPI Number 1477733418
Legal business name
LBN
PK XRAY, INC
Authorized official PHILLIPS KIZZIA - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 11/07/2007
Last updated 11/24/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • AR License #: RT1299
  • AR Medicaid: 165224710

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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