Provider Demographics
NPI:1184012924
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:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:CLUFF
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 1:3615 S FLORIDA AVE
Practice Address - Street 2:STE 72
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33803-4876
Practice Address - Country:US
Practice Address - Phone:863-797-4520
Practice Address - Fax:863-797-4520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-02
Last Update Date:2015-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment