Basic Information
| Provider Information | |||||||||
| NPI: | 1881941953 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | AURALCARE HEARING CENTERS OF AMERICA, LLC | ||||||||
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| OtherOrganizationName: | ADVANCED AUDIOLOGY, LLC | ||||||||
| OtherOrganizationType: | 4 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8941 S 700 E | ||||||||
| Address2: | SUITE 204 | ||||||||
| City: | SANDY | ||||||||
| State: | UT | ||||||||
| PostalCode: | 84070 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8018498497 | ||||||||
| FaxNumber: | 8016062901 | ||||||||
| Practice Location | |||||||||
| Address1: | 310 E 4500 S | ||||||||
| Address2: | SUITE 110 | ||||||||
| City: | MURRAY | ||||||||
| State: | UT | ||||||||
| PostalCode: | 84107 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8014869309 | ||||||||
| FaxNumber: | 8016062901 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/08/2012 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| AuthorizedOfficialLastName: | LARSEN | ||||||||
| AuthorizedOfficialFirstName: | DAVE | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 8018498497 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 231H00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Speech, Language and Hearing Service Providers | Audiologist |
No ID Information.