Provider Demographics
NPI:1942440177
Name:ECHOTO GO LLC
Entity type:Organization
Organization Name:ECHOTO GO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:POSELEY
Authorized Official - Suffix:
Authorized Official - Credentials:RDMS, RDCS,RVT
Authorized Official - Phone:574-294-2139
Mailing Address - Street 1:24741 NE CE DAH DR
Mailing Address - Street 2:
Mailing Address - City:ELKHART
Mailing Address - State:IN
Mailing Address - Zip Code:46516-5757
Mailing Address - Country:US
Mailing Address - Phone:574-294-2139
Mailing Address - Fax:574-293-1611
Practice Address - Street 1:24741 NE CE DAH DR
Practice Address - Street 2:
Practice Address - City:ELKHART
Practice Address - State:IN
Practice Address - Zip Code:46516-5757
Practice Address - Country:US
Practice Address - Phone:574-294-2139
Practice Address - Fax:574-293-1611
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-27
Last Update Date:2009-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory