Mountaintop Audiology LLC

Primary specialty

AudiologistTaxonomy code 231H00000X

Legal business name

MOUNTAINTOP AUDIOLOGY LLC

Practice address

415 S. Medical Dr.
Suite 202a
Bountiful, UT 84010-4946

Phone

(801) 298-4327

Fax

(801) 298-4328

NPI assigned

Apr 19, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Richard Layne Luekenga Jr., AUD

Title

Owner

Phone

(435) 688-8991

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1366329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366329600000",
    "number": "1659715746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1054 E. RIVERSIDE DR.",
            "address_2": "SUITE 201",
            "city": "ST. GEORGE",
            "state": "UT",
            "postal_code": "847904829",
            "telephone_number": "435-688-8991",
            "fax_number": "435-688-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 S. MEDICAL DR.",
            "address_2": "SUITE 202A",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840104946",
            "telephone_number": "801-298-4327",
            "fax_number": "801-298-4328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAINTOP AUDIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-19",
        "last_updated": "2013-04-19",
        "status": "A",
        "authorized_official_last_name": "LUEKENGA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "LAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-688-8991",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.