Provider Demographics
NPI:1124370168
Name:BAY AUDIOLOGY SERVICES INC
Entity Type:Organization
Organization Name:BAY AUDIOLOGY SERVICES INC
Other - Org Name:BAY AUDIOLOGY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:VAUTIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-689-3241
Mailing Address - Street 1:3401 MEDICAL PARK DR BLDG 1
Mailing Address - Street 2:STE 103
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36693-3318
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3401 MEDICAL PARK DR BLDG 1
Practice Address - Street 2:STE 103
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36693-3318
Practice Address - Country:US
Practice Address - Phone:251-689-3241
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-15
Last Update Date:2012-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty