Provider Demographics
NPI:1124594569
Name:CHOICE AUDIOLOGY, LLC
Entity Type:Organization
Organization Name:CHOICE AUDIOLOGY, LLC
Other - Org Name:CHOICE AUDIOLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REBEKAH
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:TRIPP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-229-6230
Mailing Address - Street 1:806 MULBERRY ST
Mailing Address - Street 2:
Mailing Address - City:LOUDON
Mailing Address - State:TN
Mailing Address - Zip Code:37774-1309
Mailing Address - Country:US
Mailing Address - Phone:865-229-6230
Mailing Address - Fax:
Practice Address - Street 1:938 MULBERRY ST
Practice Address - Street 2:
Practice Address - City:LOUDON
Practice Address - State:TN
Practice Address - Zip Code:37774-1341
Practice Address - Country:US
Practice Address - Phone:865-229-6230
Practice Address - Fax:423-352-4020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-23
Last Update Date:2021-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech