Provider Demographics
NPI:1326229881
Name:VALLEY ECHO INC
Entity Type:Organization
Organization Name:VALLEY ECHO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ECHOSONOGRAPHER
Authorized Official - Prefix:MISS
Authorized Official - First Name:ANN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:RDCS
Authorized Official - Phone:480-688-4204
Mailing Address - Street 1:1351 E JENSEN ST
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85203-3353
Mailing Address - Country:US
Mailing Address - Phone:480-688-4204
Mailing Address - Fax:
Practice Address - Street 1:1351 E JENSEN ST
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85203-3353
Practice Address - Country:US
Practice Address - Phone:480-688-4204
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-26
Last Update Date:2007-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ35715261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
Z63963Medicare PIN