Provider Demographics
NPI:1932465705
Name:DGS AUDIOLOGY, INC.
Entity Type:Organization
Organization Name:DGS AUDIOLOGY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/AUDIOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:DARLENE
Authorized Official - Middle Name:G
Authorized Official - Last Name:SAUNDERS
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-A, FAAA
Authorized Official - Phone:540-774-5060
Mailing Address - Street 1:2149 ELECTRIC RD
Mailing Address - Street 2:SUITE 8
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24018-1975
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2149 ELECTRIC RD
Practice Address - Street 2:SUITE 8
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24018-1975
Practice Address - Country:US
Practice Address - Phone:540-774-5060
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-06
Last Update Date:2012-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2201001085231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty