# JRT RADIOLOGY SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063867190
- **Authorized official:** MR. ZIAD SKAF (MANAGER)
- **Authorized official phone:** (307) 337-4285

## Contact information

- **Practice address:** 1001 W MAIN ST, RIVERTON, WY 82501-3230
- **Practice address phone:** (307) 856-6530
- **Practice address fax:** (307) 333-0580
- **Mailing address:** 428 S. DURBIN SUITE 104, CASPER, WY 82601-2818
- **Mailing address phone:** (307) 337-4285
- **Mailing address fax:** (307) 333-0580

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | 5665A | WY | Yes |

## Other

- **Enumeration date:** 04/26/2016
- **Last updated:** 09/12/2017