Provider Demographics
NPI:1891781357
Name:AUDIOLOGY MANAGEMENT LLC
Entity Type:Organization
Organization Name:AUDIOLOGY MANAGEMENT LLC
Other - Org Name:ADVANCED HEARING AND BALANCE SPECIALISTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO OWNER MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:LANCE
Authorized Official - Middle Name:F
Authorized Official - Last Name:GREER
Authorized Official - Suffix:
Authorized Official - Credentials:AUD FAAA
Authorized Official - Phone:435-688-8866
Mailing Address - Street 1:617 E RIVERSIDE DR STE 102
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84790-8720
Mailing Address - Country:US
Mailing Address - Phone:435-688-8866
Mailing Address - Fax:435-688-2882
Practice Address - Street 1:617 E RIVERSIDE DR STE 102
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790-8720
Practice Address - Country:US
Practice Address - Phone:435-688-8866
Practice Address - Fax:435-688-2882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-21
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5502231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty