Provider Demographics
NPI:1306286794
Name:AUDIO ACOUSTICS TESTING AND DIAGNOSTICS OF MIDLAND, LLC.
Entity type:Organization
Organization Name:AUDIO ACOUSTICS TESTING AND DIAGNOSTICS OF MIDLAND, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ORLAND
Authorized Official - Middle Name:
Authorized Official - Last Name:PURCELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:432-689-4327
Mailing Address - Street 1:2101 N MIDLAND DR
Mailing Address - Street 2:SUITE 4
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79707-5507
Mailing Address - Country:US
Mailing Address - Phone:432-689-4327
Mailing Address - Fax:432-689-4329
Practice Address - Street 1:2101 N MIDLAND DR
Practice Address - Street 2:SUITE 4
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79707-5507
Practice Address - Country:US
Practice Address - Phone:432-689-4327
Practice Address - Fax:432-689-4329
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-28
Last Update Date:2013-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty