Provider Demographics
NPI:1356660401
Name:SARALEX LLC
Entity Type:Organization
Organization Name:SARALEX LLC
Other - Org Name:ADVANCED HEARING HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUDIOLOGIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:A
Authorized Official - Last Name:DIRIENZO
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:860-372-4040
Mailing Address - Street 1:142 MARKET SQ
Mailing Address - Street 2:
Mailing Address - City:NEWINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06111-2913
Mailing Address - Country:US
Mailing Address - Phone:860-372-4040
Mailing Address - Fax:860-372-4044
Practice Address - Street 1:142 MARKET SQ
Practice Address - Street 2:
Practice Address - City:NEWINGTON
Practice Address - State:CT
Practice Address - Zip Code:06111-2913
Practice Address - Country:US
Practice Address - Phone:860-372-4040
Practice Address - Fax:860-372-4044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-27
Last Update Date:2010-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000450237600000X, 332S00000X
CT000351237700000X, 332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Multi-Specialty
No332S00000XSuppliersHearing Aid Equipment