Organization Active NPI

The Hearing Lab LLC

  • Hearing Instrument Specialist
  • Saint Charles, MO
National Provider Identifier
1417384496
Registry record updated Oct 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
4118-4203 Issued in IL
Legal business name
THE HEARING LAB LLC
Practice address
2151 Bluestone Dr
Saint Charles, MO 63303-6704
Phone
(855) 703-4637
Fax
(636) 946-1754
NPI assigned
Oct 4, 2013
Last updated
Oct 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2013

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

Authorized official

Name
Mr. Michael Steven Marino, B.C.-H.I.S.NPI 1780933523
Title
Owner
Phone
(855) 703-4637

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 4118-4203 IL Primary

Addresses

Primary practice location

2151 Bluestone Dr
Saint Charles, MO 63303-6704

Mailing address

2151 Bluestone Dr
Saint Charles, MO 63303-6704
Phone (855) 703-4637

National Provider Directory

National Provider Directory

Locations

2151 Bluestone Dr
Saint Charles, MO 63303
Phone (618) 277-8111

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1380844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380844800000",
    "number": "1417384496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 BLUESTONE DR",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633036704",
            "telephone_number": "855-703-4637",
            "fax_number": "636-946-1754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 BLUESTONE DR",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633036704",
            "telephone_number": "855-703-4637",
            "fax_number": "636-946-1754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEARING LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-04",
        "last_updated": "2013-10-04",
        "status": "A",
        "authorized_official_last_name": "MARINO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "855-703-4637",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B.C.-H.I.S."
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "IL",
            "license": "4118-4203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; 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.