JTK Imaging Services LLC

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

Legal business name

JTK IMAGING SERVICES LLC

Practice address

2413 Saint Andrews CT
Muskogee, OK 74403-1682

Phone

(918) 910-4067

Fax

(918) 910-4065

NPI assigned

Jan 13, 2017

Organization subpart

No

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

Authorized official

Name

Jamie Kizzia, RCS

Title

Owner

Phone

(918) 616-6396

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Portable X-ray supplier certification: CCN 37X0009831

Legal name

JTK IMAGING SERVICES

Certification status

Active

Provider type (POS)

Portable X-ray supplier

Participating since

Sep 15, 2017

Last certification

Dec 1, 2021

Ownership / control type

Individual

Facility address

2413 Saint Andrews CT
Muskogee, OK 74403

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jamie Laster, RCS

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Muskogee, OK
  • NPI 1447793138
  NPD

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

{
    "created_epoch": "1484265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1710423785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2413 SAINT ANDREWS CT",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744031682",
            "telephone_number": "918-910-4067",
            "fax_number": "918-910-4065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2413 SAINT ANDREWS CT",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744031682",
            "telephone_number": "918-910-4067",
            "fax_number": "918-910-4065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JTK IMAGING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-13",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "KIZZIA",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-616-6396",
        "authorized_official_credential": "RCS"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christy Rae Jordan, RN
• Juleona Jordan
• James Jorgensen, NP
• Delvetta Carlotta Josey
• Petrina Joslin, M.D.
• Hani George Jumean, MD FRCP FACP
• Andrea Jurgens, MD, MPH
• Justin W Hogle OD PLLC
• Bernard Rukwaro Kabati
• Shelley Kalka-Gower, BSW

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Muskogee, OK
• Providers in Muskogee, OK by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.