Provider Demographics
NPI:1982702197
Name:ECHO-TECH UNLIMITED-ULTRA SOUND SCANNING SVCS, INC
Entity Type:Organization
Organization Name:ECHO-TECH UNLIMITED-ULTRA SOUND SCANNING SVCS, INC
Other - Org Name:ECHO-TECH UNLIMITED
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAY
Authorized Official - Middle Name:M
Authorized Official - Last Name:MALDONADO
Authorized Official - Suffix:
Authorized Official - Credentials:RDCS,RDMS,RVS
Authorized Official - Phone:936-628-2354
Mailing Address - Street 1:18 LEDBURY PARK LN
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-3669
Mailing Address - Country:US
Mailing Address - Phone:281-370-6360
Mailing Address - Fax:
Practice Address - Street 1:18 LEDBURY PARK LN
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-3669
Practice Address - Country:US
Practice Address - Phone:281-370-6360
Practice Address - Fax:281-655-0192
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2007-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP00318636OtherRAILROAD
TXP00318636OtherRAILROAD
TXX17786Medicare UPIN