Provider Demographics
NPI:1164707998
Name:AUDIOLOGY DISTRIBUTION, LLC
Entity Type:Organization
Organization Name:AUDIOLOGY DISTRIBUTION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER OF INSURANCE CONTRACTING
Authorized Official - Prefix:
Authorized Official - First Name:MORGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GELATT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-478-8770
Mailing Address - Street 1:PO BOX 200132
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75320-0132
Mailing Address - Country:US
Mailing Address - Phone:561-478-8770
Mailing Address - Fax:561-598-7231
Practice Address - Street 1:7136 MUIRFIELD DR STE C-100
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017
Practice Address - Country:US
Practice Address - Phone:614-764-1510
Practice Address - Fax:614-798-8611
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-12
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty