Provider Demographics
NPI:1326033465
Name:AUDIOLOGY ASSOCIATES OF LAS VEGAS, LLC.
Entity Type:Organization
Organization Name:AUDIOLOGY ASSOCIATES OF LAS VEGAS, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PART-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:SWENSSON
Authorized Official - Suffix:
Authorized Official - Credentials:AUD, CCC-A
Authorized Official - Phone:702-838-4552
Mailing Address - Street 1:7180 CASCADE VALLEY CT
Mailing Address - Street 2:SUITE 280
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-0481
Mailing Address - Country:US
Mailing Address - Phone:702-838-4552
Mailing Address - Fax:702-838-8690
Practice Address - Street 1:7180 CASCADE VALLEY CT
Practice Address - Street 2:SUITE 280
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-0481
Practice Address - Country:US
Practice Address - Phone:702-838-4552
Practice Address - Fax:702-838-8690
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVA-161231H00000X
NV271237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
Not Answered237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV38694Medicare UPIN