Provider Demographics
NPI:1902205685
Name:HEARING ASSOCIATES OF LAS VEGAS, LLC
Entity Type:Organization
Organization Name:HEARING ASSOCIATES OF LAS VEGAS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBYN
Authorized Official - Middle Name:
Authorized Official - Last Name:EDGSON
Authorized Official - Suffix:
Authorized Official - Credentials:BC-HIS
Authorized Official - Phone:702-761-3831
Mailing Address - Street 1:1401 HILLSHIRE DR STE 130
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89134-6366
Mailing Address - Country:US
Mailing Address - Phone:702-857-8188
Mailing Address - Fax:702-947-7187
Practice Address - Street 1:1401 HILLSHIRE DR STE 130
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89134-6366
Practice Address - Country:US
Practice Address - Phone:702-857-8188
Practice Address - Fax:702-947-7187
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-19
Last Update Date:2020-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV320237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty