Provider Demographics
NPI:1114091295
Name:BLUE RIDGE ECHO LLC
Entity Type:Organization
Organization Name:BLUE RIDGE ECHO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CARDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MARTA
Authorized Official - Middle Name:C
Authorized Official - Last Name:SAYERS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:540-989-8552
Mailing Address - Street 1:5454 FLINTLOCK LN
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24018-8736
Mailing Address - Country:US
Mailing Address - Phone:540-989-8552
Mailing Address - Fax:540-989-8552
Practice Address - Street 1:3421 CANTER CIR
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24018-3801
Practice Address - Country:US
Practice Address - Phone:540-774-1160
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA34349261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty