1982702197 NPI number — ECHO-TECH UNLIMITED-ULTRA SOUND SCANNING SVCS, INC

Table of content: (NPI 1982702197)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982702197 NPI number — ECHO-TECH UNLIMITED-ULTRA SOUND SCANNING SVCS, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ECHO-TECH UNLIMITED-ULTRA SOUND SCANNING SVCS, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
ECHO-TECH UNLIMITED
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1982702197
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
18 LEDBURY PARK LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SPRING
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77379-3669
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-370-6360
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
18 LEDBURY PARK LN
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SPRING
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77379-3669
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-370-6360
Provider Business Practice Location Address Fax Number:
281-655-0192
Provider Enumeration Date:
09/20/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
MALDONADO
Authorized Official First Name:
RAY
Authorized Official Middle Name:
M.
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
936-628-2354

Provider Taxonomy Codes

  • Taxonomy code: 2085R0202X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: P00318636 . This is a "RAILROAD" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".