Organization Active NPI

JRT Radiology Services LLC

  • Radiology Clinic/Center
  • Riverton, WY
National Provider Identifier
1063867190
Registry record updated Sep 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
5665A Issued in WY
Legal business name
JRT RADIOLOGY SERVICES LLC
Practice address
1001 W Main St
Riverton, WY 82501-3230
Phone
(307) 856-6530
Fax
(307) 333-0580
NPI assigned
Apr 26, 2016
Last updated
Sep 12, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Ziad Skaf
Title
Manager
Phone
(307) 337-4285

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X 5665A WY Primary

Addresses

Primary practice location

1001 W Main St
Riverton, WY 82501-3230

Mailing address

428 S. Durbin Suite 104
Casper, WY 82601-2818
Phone (307) 337-4285

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505174400000",
    "number": "1063867190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 S. DURBIN SUITE 104",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012818",
            "telephone_number": "307-337-4285",
            "fax_number": "307-333-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W MAIN ST",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825013230",
            "telephone_number": "307-856-6530",
            "fax_number": "307-333-0580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JRT RADIOLOGY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-26",
        "last_updated": "2017-09-12",
        "status": "A",
        "authorized_official_last_name": "SKAF",
        "authorized_official_first_name": "ZIAD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "307-337-4285",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "WY",
            "license": "5665A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverton, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.