Provider Demographics
NPI:1518404821
Name:PINOLE HEARING AID CENTER LLC
Entity Type:Organization
Organization Name:PINOLE HEARING AID CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:MARC
Authorized Official - Middle Name:
Authorized Official - Last Name:LAPIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-615-4339
Mailing Address - Street 1:1700 SAN PABLO AVE STE F
Mailing Address - Street 2:
Mailing Address - City:PINOLE
Mailing Address - State:CA
Mailing Address - Zip Code:94564-2082
Mailing Address - Country:US
Mailing Address - Phone:510-724-1095
Mailing Address - Fax:
Practice Address - Street 1:1700 SAN PABLO AVE STE F
Practice Address - Street 2:
Practice Address - City:PINOLE
Practice Address - State:CA
Practice Address - Zip Code:94564-2082
Practice Address - Country:US
Practice Address - Phone:510-724-1095
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AUDRX LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-01-24
Last Update Date:2017-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment