# JTK IMAGING SERVICES LLC

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

## Provider details

- **NPI number:** 1710423785
- **Authorized official:** JAMIE KIZZIA RCS (OWNER)
- **Authorized official phone:** (918) 616-6396

## Contact information

- **Practice address:** 2413 SAINT ANDREWS CT, MUSKOGEE, OK 74403-1682
- **Practice address phone:** (918) 910-4067
- **Practice address fax:** (918) 910-4065
- **Mailing address:** 2413 SAINT ANDREWS CT, MUSKOGEE, OK 74403-1682
- **Mailing address phone:** (918) 910-4067
- **Mailing address fax:** (918) 910-4065

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 01/13/2017
- **Last updated:** 01/17/2017
