# ULTRASOUND AND ECHO CARDIOGRAM MEDICAL DIAGNOSTICS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093846263
- **Authorized official:** MR. JACK LANGE (PRESIDENT)
- **Authorized official phone:** (330) 637-0348

## Contact information

- **Practice address:** 5594 STATE ROUTE 7, ANDOVER, OH 44003-0179
- **Practice address phone:** (440) 293-2444
- **Practice address fax:** (440) 293-2445
- **Mailing address:** 109 WALNUT STREET, CORTLAND, OH 44410-1421
- **Mailing address phone:** (330) 637-0348
- **Mailing address fax:** (330) 637-0048

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085U0001X | Diagnostic Ultrasound Physician | — | NULL | Yes |
| 2085U0001X | Diagnostic Ultrasound Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/08/2007
- **Last updated:** 01/21/2015