Provider Demographics
NPI:1053925016
Name:ECHO DIAGNOST-X LLC
Entity type:Organization
Organization Name:ECHO DIAGNOST-X LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BATTAVIO
Authorized Official - Suffix:
Authorized Official - Credentials:RT(R)
Authorized Official - Phone:267-372-2510
Mailing Address - Street 1:933 OLD BETHLEHEM PIKE
Mailing Address - Street 2:
Mailing Address - City:SELLERSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18960-2237
Mailing Address - Country:US
Mailing Address - Phone:267-372-2510
Mailing Address - Fax:
Practice Address - Street 1:933 OLD BETHLEHEM PIKE
Practice Address - Street 2:
Practice Address - City:SELLERSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18960-1801
Practice Address - Country:US
Practice Address - Phone:267-372-2510
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-06
Last Update Date:2020-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile