PK XRAY, INC; NPI #1477733418

Contact Information

PK XRAY, INC

3379A GREEN ACRES RD
SPRINGDALE, AR 72764-0236

Phone: 918-683-9729
Fax: 918-683-1012
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Radiologic Technologist	247100000X

Indicates primary specialty

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NPI Profile & details for PK XRAY, INC

NPI # 1477733418

LBN Legal business name PK XRAY, INC

Authorized official PHILLIPS KIZZIA - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/07/2007

Last updated 11/24/2008 - About 18 years ago

Identifiers

AR	License #	RT1299
AR	Medicaid	165224710

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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PK XRAY, INC

Contact Information

Specialty

Radiologic Technologist

NPI Profile & details for PK XRAY, INC

Reviews for PK XRAY, INC