Provider Demographics
NPI:1851324354
Name:FMR AND ASSOCIATES
Entity Type:Organization
Organization Name:FMR AND ASSOCIATES
Other - Org Name:CHR DIAGNOSTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:770-798-1274
Mailing Address - Street 1:5702 CARRINGTON LAKE PKWY
Mailing Address - Street 2:
Mailing Address - City:TRUSSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35173-2895
Mailing Address - Country:US
Mailing Address - Phone:770-798-1274
Mailing Address - Fax:
Practice Address - Street 1:5702 CARRINGTON LAKE PKWY
Practice Address - Street 2:
Practice Address - City:TRUSSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35173-2895
Practice Address - Country:US
Practice Address - Phone:770-798-1274
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-08
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL=========OtherEIN