Provider Demographics
NPI:1427171560
Name:HL HEARING, INC
Entity type:Organization
Organization Name:HL HEARING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HARRY
Authorized Official - Middle Name:A
Authorized Official - Last Name:LEIBOVICH
Authorized Official - Suffix:
Authorized Official - Credentials:HIS
Authorized Official - Phone:801-266-3751
Mailing Address - Street 1:5329 W ROLLING BROOK DR
Mailing Address - Street 2:
Mailing Address - City:HERRIMAN
Mailing Address - State:UT
Mailing Address - Zip Code:84096-5699
Mailing Address - Country:US
Mailing Address - Phone:801-266-3751
Mailing Address - Fax:801-266-4254
Practice Address - Street 1:5261 S STATE ST
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84107-4828
Practice Address - Country:US
Practice Address - Phone:801-266-3751
Practice Address - Fax:801-266-4254
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID807058000Medicaid
IDAU829OtherBLUE CROSS NUMBER