Provider Demographics
NPI:1699335240
Name:ECHO HEALTH MUSCULOSKELETAL IMAGING, P.S.
Entity type:Organization
Organization Name:ECHO HEALTH MUSCULOSKELETAL IMAGING, P.S.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RMSK, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:E
Authorized Official - Last Name:FRITZ
Authorized Official - Suffix:
Authorized Official - Credentials:RMSK
Authorized Official - Phone:360-202-7711
Mailing Address - Street 1:3001 R AVE
Mailing Address - Street 2:210D
Mailing Address - City:ANACORTES
Mailing Address - State:WA
Mailing Address - Zip Code:98221
Mailing Address - Country:US
Mailing Address - Phone:360-202-7711
Mailing Address - Fax:
Practice Address - Street 1:3001 R AVE
Practice Address - Street 2:210D
Practice Address - City:ANACORTES
Practice Address - State:WA
Practice Address - Zip Code:98221
Practice Address - Country:US
Practice Address - Phone:360-202-7711
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-17
Last Update Date:2019-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonographyGroup - Multi-Specialty