Provider Demographics
NPI:1538958202
Name:ELEVATED ECHO LLC
Entity type:Organization
Organization Name:ELEVATED ECHO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JORDAN
Authorized Official - Middle Name:ETHAN
Authorized Official - Last Name:ORR
Authorized Official - Suffix:
Authorized Official - Credentials:RCS
Authorized Official - Phone:406-214-9716
Mailing Address - Street 1:193 CORMORET LOOP
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:MT
Mailing Address - Zip Code:59833-6612
Mailing Address - Country:US
Mailing Address - Phone:406-214-9716
Mailing Address - Fax:
Practice Address - Street 1:3010 SANTA FE CT STE 119
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59808-1730
Practice Address - Country:US
Practice Address - Phone:406-214-9716
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246XS1301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularSonographyGroup - Multi-Specialty
No2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonographyGroup - Multi-Specialty