Provider Demographics
NPI:1710413547
Name:AUDIOLOGY CONCEPTS, LLC
Entity Type:Organization
Organization Name:AUDIOLOGY CONCEPTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:LEYENDECKER
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:952-831-4222
Mailing Address - Street 1:7380 FRANCE AVE S STE 200
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435-4506
Mailing Address - Country:US
Mailing Address - Phone:952-831-4222
Mailing Address - Fax:952-831-4942
Practice Address - Street 1:7380 FRANCE AVE S STE 200
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-4506
Practice Address - Country:US
Practice Address - Phone:952-831-4222
Practice Address - Fax:952-831-4942
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-11
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
No261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332S00000XSuppliersHearing Aid EquipmentGroup - Single Specialty