Organization Active NPI

PK Imaging Center

  • Radiology Clinic/Center
  • Muskogee, OK
National Provider Identifier
1346577798
Registry record updated Nov 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
PK IMAGING CENTER
Practice address
347 S 37TH St
Muskogee, OK 74401-4906
Phone
(918) 683-9729
Fax
(918) 683-1012
NPI assigned
Nov 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2009

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

Authorized official

Name
Mr. Phillip Lee Kizzia
Title
Owner/Administrator
Phone
(918) 683-9729

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X OK Primary

Addresses

Primary practice location

347 S 37TH St
Muskogee, OK 74401-4906

Mailing address

347 S 37TH St
Muskogee, OK 74401-4906
Phone (918) 683-9729

National Provider Directory

National Provider Directory
Tax ID family
PK Imaging Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1257379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257379200000",
    "number": "1346577798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 S 37TH ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744014906",
            "telephone_number": "918-683-9729",
            "fax_number": "918-683-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 S 37TH ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744014906",
            "telephone_number": "918-683-9729",
            "fax_number": "918-683-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PK IMAGING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-05",
        "last_updated": "2009-11-05",
        "status": "A",
        "authorized_official_last_name": "KIZZIA",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "918-683-9729",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskogee, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2009; 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.