Provider Demographics
NPI:1003803859
Name:AUDIO-LOGICS
Entity Type:Organization
Organization Name:AUDIO-LOGICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:J
Authorized Official - Last Name:FECEK
Authorized Official - Suffix:
Authorized Official - Credentials:MA,CCC-A
Authorized Official - Phone:724-228-8212
Mailing Address - Street 1:210 WELLNESS WAY
Mailing Address - Street 2:PROFESIONAL BLDG.#1
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-9697
Mailing Address - Country:US
Mailing Address - Phone:724-228-8212
Mailing Address - Fax:724-228-7767
Practice Address - Street 1:210 WELLNESS WAY
Practice Address - Street 2:PROFESIONAL BLDG.#1
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-9697
Practice Address - Country:US
Practice Address - Phone:724-228-8212
Practice Address - Fax:724-228-7767
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT000463L231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1506275Medicare UPIN
PA069318SKGMedicare ID - Type UnspecifiedAUDIOLOGIST
PA06107Medicare UPIN
PA239688Medicare UPIN
PA05106Medicare UPIN
PA077219Medicare ID - Type UnspecifiedAUDIOLOGY GROUP
PA217420SKGMedicare ID - Type UnspecifiedAUDIOLOGIST
PA050524SKGMedicare ID - Type UnspecifiedAUDIOLOGIST
PA04646Medicare UPIN