IndividualActive
Scott Jackson, RT(R)(CT)
NPI 1043848526 · Computed Tomography Radiologic Technologist · Gaithersburg, MD
Provider details
- NPI number
- 1043848526
- Entity type
- Individual
- Primary specialty
- Computed Tomography Radiologic TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- RT(R)(CT)
- Sex
- Male
- Sole proprietor
- Yes
- License
- R08214 (MD)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Technologists, Technicians & Other Technical Service Providers
Practice location
655 Watkins Mill Rd
Gaithersburg, MD 20879-3301
Phone: (240) 632-4418
Approximate (ZIP-level) locationGet directions
Mailing address
655 Watkins Mill Rd
Gaithersburg, MD 20879-3301
Additional practice locations (1)
- 8901 Rockville Pike Bldg 9aBethesda, MD 20889-0001Phone: (301) 295-4963
Registry dates
- Enumerated
- 2020-03-30
- Last updated
- 2020-03-30
- Certified
- 2020-03-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.