Provider Demographics
NPI:1093208381
Name:TONOVA AUDIOMETRICS, LLC
Entity Type:Organization
Organization Name:TONOVA AUDIOMETRICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DELIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:BELONI-BUSSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:855-486-6682
Mailing Address - Street 1:677B ALTA PL NW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30318-6364
Mailing Address - Country:US
Mailing Address - Phone:855-486-6682
Mailing Address - Fax:
Practice Address - Street 1:677B ALTA PL NW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30318-6364
Practice Address - Country:US
Practice Address - Phone:855-486-6682
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-11
Last Update Date:2018-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center