NPIMap

Organization Active NPI

Ultrasound and Echo Cardiogram Medical Diagnostics, Inc.

  • Diagnostic Ultrasound Physician
  • Andover, OH
National Provider Identifier
1093846263
Registry record updated Jan 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X
Legal business name
ULTRASOUND AND ECHO CARDIOGRAM MEDICAL DIAGNOSTICS, INC.
Practice address
5594 State Route 7
Andover, OH 44003-0179
Phone
(440) 293-2444
Fax
(440) 293-2445
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Jack Lange
Title
President
Phone
(330) 637-0348

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Ultrasound PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085U0001X Primary

Addresses

Primary practice location

5594 State Route 7
Andover, OH 44003-0179

Mailing address

109 Walnut Street
Cortland, OH 44410-1421
Phone (330) 637-0348

Other identifiers 1

IdentifierTypeStateIssuer
9348051MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421798400000",
    "number": "1093846263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 WALNUT STREET",
            "city": "CORTLAND",
            "state": "OH",
            "postal_code": "444101421",
            "telephone_number": "330-637-0348",
            "fax_number": "330-637-0048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5594 STATE ROUTE 7",
            "city": "ANDOVER",
            "state": "OH",
            "postal_code": "440030179",
            "telephone_number": "440-293-2444",
            "fax_number": "440-293-2445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTRASOUND AND ECHO CARDIOGRAM MEDICAL DIAGNOSTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2015-01-21",
        "status": "A",
        "authorized_official_last_name": "LANGE",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-637-0348",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9348051",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Andover, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.