Organization
ULTRASOUND AND ECHO CARDIOGRAM MEDICAL DIAGNOSTICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK LANGE (PRESIDENT)
(330) 637-0348
Entity
Organization
Contact information
Practice address
5594 STATE ROUTE 7, ANDOVER, OH 44003-0179
(440) 293-2444
(440) 293-2445
Mailing address
109 WALNUT STREET, CORTLAND, OH 44410-1421
(330) 637-0348
(330) 637-0048
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9348051
—
OH
Enumeration date
03/08/2007
Last updated
01/21/2015
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