Organization
JTK IMAGING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE KIZZIA RCS (OWNER)
(918) 616-6396
Entity
Organization
Contact information
Practice address
2413 SAINT ANDREWS CT, MUSKOGEE, OK 74403-1682
(918) 910-4067
(918) 910-4065
Mailing address
2413 SAINT ANDREWS CT, MUSKOGEE, OK 74403-1682
(918) 910-4067
(918) 910-4065
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Enumeration date
01/13/2017
Last updated
01/17/2017
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