Provider Demographics
NPI:1043219082
Name:ARLINGTON AUDIOLOGY, P.C.
Entity Type:Organization
Organization Name:ARLINGTON AUDIOLOGY, P.C.
Other - Org Name:ARLINGTON AUDIOLOGY, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KELLIE
Authorized Official - Middle Name:SARAH
Authorized Official - Last Name:LORENSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-472-7720
Mailing Address - Street 1:3132 MATLOCK RD
Mailing Address - Street 2:SUITE 303
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76015-2910
Mailing Address - Country:US
Mailing Address - Phone:817-472-7720
Mailing Address - Fax:817-417-7280
Practice Address - Street 1:3132 MATLOCK RD
Practice Address - Street 2:SUITE 303
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76015-2910
Practice Address - Country:US
Practice Address - Phone:817-472-7720
Practice Address - Fax:817-417-7280
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-20
Last Update Date:2020-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0048CEOtherBCBS
TX1107889001OtherCIGNA
TX1107889001OtherCIGNA