Provider Demographics
NPI:1841268828
Name:IRON AUDIOLOGY, INC.
Entity type:Organization
Organization Name:IRON AUDIOLOGY, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:JASCHKE
Authorized Official - Last Name:MONARDI
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:916-806-6372
Mailing Address - Street 1:45 SAN CLEMENTE DR STE D140
Mailing Address - Street 2:
Mailing Address - City:CORTE MADERA
Mailing Address - State:CA
Mailing Address - Zip Code:94925-1210
Mailing Address - Country:US
Mailing Address - Phone:415-927-1567
Mailing Address - Fax:916-786-9001
Practice Address - Street 1:45 SAN CLEMENTE DR STE D140
Practice Address - Street 2:
Practice Address - City:CORTE MADERA
Practice Address - State:CA
Practice Address - Zip Code:94925-1210
Practice Address - Country:US
Practice Address - Phone:415-927-1567
Practice Address - Fax:415-329-1924
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-08
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU1719237600000X, 231HA2400X, 235500000X, 231H00000X, 237700000X
CAHA3491237700000X, 237700000X
237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Multi-Specialty
No231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology PractitionerGroup - Multi-Specialty
No235500000XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ07624ZOtherBLUE CROSS/SHIELD
CAZZZ07624ZOtherBLUE CROSS/SHIELD
CAY03458Medicare UPIN