Provider Demographics
NPI:1821578618
Name:AUDIOLOGY SERVICES COMPANY USA, LLC
Entity Type:Organization
Organization Name:AUDIOLOGY SERVICES COMPANY USA, LLC
Other - Org Name:AUDIOLOGY SERVICES COMPANY USA, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:ACCOUNT MANAGEMENT SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:SALAZAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-529-7120
Mailing Address - Street 1:2501 COTTONTAIL LN
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-5125
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2143 WILLIAMSBRIDGE RD APT A
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-1639
Practice Address - Country:US
Practice Address - Phone:718-792-4327
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-21
Last Update Date:2019-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty