Colossal Enterprise, LLC

Primary specialty

Hearing Aid EquipmentTaxonomy code 332S00000X

Legal business name

COLOSSAL ENTERPRISE, LLC

Practice address

1107 Arbor Crossing Dr
Lithonia, GA 30058-4891

Phone

(800) 517-1016

NPI assigned

Aug 27, 2012

Organization subpart

No

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

Authorized official

Name

Shon Daye

Title

Ceo

Phone

(800) 517-1016

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346025600000",
    "number": "1558619346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 ARBOR CROSSING DR",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300584891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 ARBOR CROSSING DR",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300584891",
            "telephone_number": "800-517-1016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLOSSAL ENTERPRISE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-27",
        "last_updated": "2012-08-27",
        "status": "A",
        "authorized_official_last_name": "DAYE",
        "authorized_official_first_name": "SHON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "800-517-1016"
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hearing Aid Equipment in Lithonia, GA
• Providers in Lithonia, GA by specialty
• Hearing Aid Equipment in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; 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.