Provider Demographics
NPI:1770946170
Name:THE ECHO GUY LLC
Entity type:Organization
Organization Name:THE ECHO GUY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER / OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ILIJA
Authorized Official - Middle Name:
Authorized Official - Last Name:JANEVSKI
Authorized Official - Suffix:
Authorized Official - Credentials:RDCS, RVT
Authorized Official - Phone:614-256-2564
Mailing Address - Street 1:4648 TATERSALL CT
Mailing Address - Street 2:
Mailing Address - City:GAHANNA
Mailing Address - State:OH
Mailing Address - Zip Code:43230-8323
Mailing Address - Country:US
Mailing Address - Phone:614-256-2564
Mailing Address - Fax:
Practice Address - Street 1:4648 TATERSALL CT
Practice Address - Street 2:
Practice Address - City:GAHANNA
Practice Address - State:OH
Practice Address - Zip Code:43230-8323
Practice Address - Country:US
Practice Address - Phone:614-256-2564
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-01
Last Update Date:2016-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH125193335V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier