Basic Information
| Provider Information | |||||||||
| NPI: | 1043645203 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SCHEINKER | ||||||||
| FirstName: | KEN | ||||||||
| MiddleName: | LEE | ||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | R (RT) (CT) ARRT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1881 CAMPUS COMMONS DR | ||||||||
| Address2: | SUITE 403 | ||||||||
| City: | RESTON | ||||||||
| State: | VA | ||||||||
| PostalCode: | 201911519 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7033905560 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1660 S COLUMBIAN WAY | ||||||||
| Address2: | |||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981081532 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8003298387 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/06/2013 | ||||||||
| LastUpdateDate: | 09/06/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 247100000X | RT00007578 | WA | Y | Technologists, Technicians & Other Technical Service Providers | Radiologic Technologist |
No ID Information.