Basic Information
| Provider Information | |||||||||
| NPI: | 1124492392 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | AUDIOLOGY SERVICES & HEARING AIDS INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 255 UNION BLVD | ||||||||
| Address2: | STE 220 | ||||||||
| City: | LAKEWOOD | ||||||||
| State: | CO | ||||||||
| PostalCode: | 802281810 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3034624900 | ||||||||
| FaxNumber: | 3032380038 | ||||||||
| Practice Location | |||||||||
| Address1: | 255 UNION BLVD | ||||||||
| Address2: | STE 220 | ||||||||
| City: | LAKEWOOD | ||||||||
| State: | CO | ||||||||
| PostalCode: | 802281810 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3034624900 | ||||||||
| FaxNumber: | 3032380038 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/25/2015 | ||||||||
| LastUpdateDate: | 11/25/2015 | ||||||||
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| AuthorizedOfficialLastName: | SOLAT | ||||||||
| AuthorizedOfficialFirstName: | MANDI | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 3034624900 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 237600000X | Y | 193200000X MULTI-SPECIALTY GROUP | Speech, Language and Hearing Service Providers | Audiologist-Hearing Aid Fitter |
No ID Information.