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
347 S 37TH ST
MUSKOGEE, OK74401-4906
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 1508998808
Legal business name
LBN
PK XRAY INC
Authorized official PHILLIP KIZZIA - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 03/12/2007
Last updated 07/18/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • OK License #: 701503
  • AR Medicaid: 165224710
  • OK Medicaid: 200038030B

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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