Provider Demographics
NPI:1801247416
Name:COVINGTON AUDIOLOGY & HEARING LLC
Entity type:Organization
Organization Name:COVINGTON AUDIOLOGY & HEARING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:ARBINI
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-A
Authorized Official - Phone:253-639-3339
Mailing Address - Street 1:17701 108TH AVE SE
Mailing Address - Street 2:PMB 525
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98055
Mailing Address - Country:US
Mailing Address - Phone:253-639-3339
Mailing Address - Fax:253-639-3839
Practice Address - Street 1:17115 SE 270TH PL STE 104
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:WA
Practice Address - Zip Code:98042-5400
Practice Address - Country:US
Practice Address - Phone:253-639-3339
Practice Address - Fax:253-639-3839
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-24
Last Update Date:2019-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALD 0001101231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1639194665Medicaid
WAG8907078Medicare PIN