Provider Demographics
NPI:1619172129
Name:LAS VEGAS HEARING CENTER, LLC
Entity Type:Organization
Organization Name:LAS VEGAS HEARING CENTER, LLC
Other - Org Name:VALLEY HEARING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:
Authorized Official - Last Name:LEVILLIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-387-9688
Mailing Address - Street 1:6273 DEAN MARTIN DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89118-3833
Mailing Address - Country:US
Mailing Address - Phone:702-616-1605
Mailing Address - Fax:702-616-0967
Practice Address - Street 1:2558 WIGWAM PKWY STE A
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-7103
Practice Address - Country:US
Practice Address - Phone:702-387-9688
Practice Address - Fax:702-387-9690
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment