The Audiology Center of Lorain Co. Inc

Primary specialty

AudiologistTaxonomy code 231H00000X

License

A0171 Issued in OH

Legal business name

THE AUDIOLOGY CENTER OF LORAIN CO. INC

Practice address

6100 S Broadway Suite 102
Lorain, OH 44053-3875

Phone

(440) 246-4327

Fax

(440) 246-4327

NPI assigned

Jul 28, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Lillian Reynolds Mithchell, MA-CCCA FAAA

Title

President-Owner-Audiologist

Phone

(440) 246-4327

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248739200000",
    "number": "1205067113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 S BROADWAY SUITE-102",
            "address_2": "THE AUDIOLOGY CENTER",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440533875",
            "telephone_number": "440-246-4327",
            "fax_number": "440-246-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 S BROADWAY SUITE 102",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440533875",
            "telephone_number": "440-246-4327",
            "fax_number": "440-246-4327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE AUDIOLOGY CENTER OF LORAIN CO. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-28",
        "last_updated": "2009-07-28",
        "status": "A",
        "authorized_official_last_name": "MITHCHELL",
        "authorized_official_first_name": "LILLIAN",
        "authorized_official_middle_name": "REYNOLDS",
        "authorized_official_title_or_position": "PRESIDENT-OWNER-AUDIOLOGIST",
        "authorized_official_telephone_number": "440-246-4327",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA-CCCA FAAA"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "OH",
            "license": "A0171",
            "primary": true
        },
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0847329",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.