TK Imaging PC

Primary specialty

Mammography Clinic/CenterTaxonomy code 261QR0206X

Legal business name

TK IMAGING PC

Practice address

2770 Main St
Marlette, MI 48453-1141

Phone

(614) 210-1885

NPI assigned

Dec 20, 2018

Last updated

Dec 20, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tyre K Jones IV, MD

Title

Administrator

Phone

(614) 210-1885

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1545264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545264000000",
    "number": "1396217972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 775953",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606775953",
            "telephone_number": "614-210-1885",
            "fax_number": "614-210-1886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 MAIN ST",
            "city": "MARLETTE",
            "state": "MI",
            "postal_code": "484531141",
            "telephone_number": "614-210-1885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TK IMAGING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-20",
        "last_updated": "2018-12-20",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "TYRE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "614-210-1885",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mammography Clinic/Center in Marlette, MI
• Providers in Marlette, MI by specialty
• Mammography Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; 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.