Healthcare Provider Details

I. General information

NPI: 1457229924
Provider Name (Legal Business Name): ECHOMED DIAGNOSTICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2025
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

930 S 4TH ST STE 209
LAS VEGAS NV
89101
US

IV. Provider business mailing address

930 S 4TH ST STE 209
LAS VEGAS NV
89101-6845
US

V. Phone/Fax

Practice location:
  • Phone: 725-216-9939
  • Fax:
Mailing address:
  • Phone: 725-216-9939
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085U0001X
TaxonomyDiagnostic Ultrasound Physician
License Number
License Number State

VIII. Authorized Official

Name: LAURA BEATRIZ UBEDA ESCOBAR
Title or Position: SOLE MEMBER
Credential: RDMS RVT
Phone: 725-216-9939