Provider Demographics
NPI:1285737676
Name:AUDIOLOGY ASSOCIATES LTD
Entity type:Organization
Organization Name:AUDIOLOGY ASSOCIATES LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:S
Authorized Official - Last Name:NASTAS
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:419-842-0664
Mailing Address - Street 1:5236 MONROE ST
Mailing Address - Street 2:UNIT C
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43623-3199
Mailing Address - Country:US
Mailing Address - Phone:419-842-0664
Mailing Address - Fax:419-842-0583
Practice Address - Street 1:5236 MONROE ST
Practice Address - Street 2:UNIT C
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43623-3199
Practice Address - Country:US
Practice Address - Phone:419-842-0664
Practice Address - Fax:419-842-0583
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-07
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH374688337007OtherMEDICAL MUTUAL OF OHIO LS
OH000000139921OtherANTHEM LSN
OH2120725Medicaid
MI640E810390OtherBLUE CROSS
05098OtherNECP LSN
MI540E810400OtherBLUE CROSS
OH03322OtherPARAMOUNT LSN
OH382569805004OtherMEDICAL MUTUAL OF OHIO RJ
OH03321OtherPARAMOUNT RJH
05098OtherNECP LSN
OH2120725Medicaid
OH03321OtherPARAMOUNT RJH