Provider Demographics
NPI:1164744637
Name:AUDIO DIAGNOSTICS II INC
Entity Type:Organization
Organization Name:AUDIO DIAGNOSTICS II INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:M
Authorized Official - Last Name:RODEHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-477-7436
Mailing Address - Street 1:2320 CONCORD RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47909-2710
Mailing Address - Country:US
Mailing Address - Phone:765-477-7436
Mailing Address - Fax:765-477-1245
Practice Address - Street 1:2320 CONCORD RD
Practice Address - Street 2:SUITE B
Practice Address - City:LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47909-2710
Practice Address - Country:US
Practice Address - Phone:765-477-7436
Practice Address - Fax:765-477-1245
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-24
Last Update Date:2010-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment