Provider Demographics
NPI:1568983849
Name:SOUTHWEST HEARING SERVICES LLC
Entity Type:Organization
Organization Name:SOUTHWEST HEARING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EVP 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 1:3219 E CAMELBACK RD STE 843
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85018-2307
Mailing Address - Country:US
Mailing Address - Phone:303-678-8040
Mailing Address - Fax:
Practice Address - Street 1:618 E STAR CT
Practice Address - Street 2:
Practice Address - City:MONTROSE
Practice Address - State:CO
Practice Address - Zip Code:81401-6700
Practice Address - Country:US
Practice Address - Phone:970-249-3971
Practice Address - Fax:970-249-0219
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-27
Last Update Date:2017-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment