Mobile Health Testing Soutions LLC

Primary specialty

Assistive Technology Practitioner AudiologistTaxonomy code 231HA2400X

Legal business name

MOBILE HEALTH TESTING SOUTIONS LLC

Practice address

2520 Witt Rd
Lebanon, IN 46052-9593

Phone

(765) 336-6655

Fax

(765) 482-7658

NPI assigned

Apr 17, 2019

Organization subpart

No

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

Authorized official

Name

Jerry Gerard Bowen

Title

Ceo

Phone

(765) 336-6655

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555459200000",
    "number": "1942863816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 WITT RD",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460529593",
            "telephone_number": "765-336-6655",
            "fax_number": "765-482-7658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 WITT RD",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460529593",
            "telephone_number": "765-336-6655",
            "fax_number": "765-482-7658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE HEALTH TESTING SOUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-17",
        "last_updated": "2019-04-17",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "GERARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "765-336-6655"
    },
    "taxonomies": [
        {
            "code": "231HA2400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DL",
            "identifier": "8913684721",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Audiologist in Lebanon, IN
• Providers in Lebanon, IN by specialty
• Audiologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; 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.