Provider Demographics
NPI:1073076659
Name:AUDIO VISUAL CENTRAL LLC
Entity Type:Organization
Organization Name:AUDIO VISUAL CENTRAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:BOEHRINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-471-3371
Mailing Address - Street 1:24776 CRESTVIEW CT
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48335-1506
Mailing Address - Country:US
Mailing Address - Phone:248-471-3372
Mailing Address - Fax:248-471-3387
Practice Address - Street 1:24776 CRESTVIEW CT
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48335-1506
Practice Address - Country:US
Practice Address - Phone:248-471-3372
Practice Address - Fax:248-471-3387
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-10
Last Update Date:2019-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies