Provider Demographics
NPI:1023659919
Name:AUDIO VISUAL CENTRAL NORTH, LLC
Entity type:Organization
Organization Name:AUDIO VISUAL CENTRAL NORTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:BOEHRINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-471-3371
Mailing Address - Street 1:24776 CRESTVIEW CT
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48335-1506
Mailing Address - Country:US
Mailing Address - Phone:248-471-3372
Mailing Address - Fax:
Practice Address - Street 1:702 S NICOLET ST
Practice Address - Street 2:
Practice Address - City:MACKINAW CITY
Practice Address - State:MI
Practice Address - Zip Code:49701-9767
Practice Address - Country:US
Practice Address - Phone:248-471-3371
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-02
Last Update Date:2020-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies