Provider Demographics
NPI:1609497924
Name:HEARING CENTER OF ARIZONA INC
Entity Type:Organization
Organization Name:HEARING CENTER OF ARIZONA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DISPENSER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ERIC
Authorized Official - Last Name:LAVIN
Authorized Official - Suffix:
Authorized Official - Credentials:HIS
Authorized Official - Phone:928-344-1968
Mailing Address - Street 1:1025 W 24TH ST STE 1
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85364-8351
Mailing Address - Country:US
Mailing Address - Phone:928-344-1968
Mailing Address - Fax:928-344-1968
Practice Address - Street 1:1025 W 24TH ST STE 1
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-8351
Practice Address - Country:US
Practice Address - Phone:928-344-1968
Practice Address - Fax:928-344-1968
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-27
Last Update Date:2020-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment