Provider Demographics
NPI:1104218189
Name:VCV HEARING LABS, LLC
Entity Type:Organization
Organization Name:VCV HEARING LABS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:VAN SCOYK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-965-0050
Mailing Address - Street 1:1234 E AIRPORT RD
Mailing Address - Street 2:
Mailing Address - City:SAFFORD
Mailing Address - State:AZ
Mailing Address - Zip Code:85546-9147
Mailing Address - Country:US
Mailing Address - Phone:928-965-0050
Mailing Address - Fax:888-399-5151
Practice Address - Street 1:7862 N ORACLE RD
Practice Address - Street 2:
Practice Address - City:ORO VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85704-6315
Practice Address - Country:US
Practice Address - Phone:520-638-6378
Practice Address - Fax:520-638-6378
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-26
Last Update Date:2015-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment