Provider Demographics
NPI:1952680233
Name:HAC TECH, LLC
Entity Type:Organization
Organization Name:HAC TECH, LLC
Other - Org Name:HARRIS HEARING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUDIOPROTHOLOGIST
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:EDGAR
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:BC-HIS, ACA
Authorized Official - Phone:801-373-6827
Mailing Address - Street 1:330 W CENTER ST
Mailing Address - Street 2:
Mailing Address - City:PROVO
Mailing Address - State:UT
Mailing Address - Zip Code:84601-4323
Mailing Address - Country:US
Mailing Address - Phone:801-373-6827
Mailing Address - Fax:801-373-6814
Practice Address - Street 1:330 W CENTER ST
Practice Address - Street 2:
Practice Address - City:PROVO
Practice Address - State:UT
Practice Address - Zip Code:84601-4323
Practice Address - Country:US
Practice Address - Phone:801-373-6827
Practice Address - Fax:801-373-6814
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-04
Last Update Date:2011-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT101620-4601332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment