Provider Demographics
NPI:1427429158
Name:AUDIZON LP
Entity type:Organization
Organization Name:AUDIZON LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTI
Authorized Official - Middle Name:
Authorized Official - Last Name:JENKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-294-8177
Mailing Address - Street 1:1100 EL JOBEAN RD
Mailing Address - Street 2:STE 112
Mailing Address - City:PORT CHARLOTTE
Mailing Address - State:FL
Mailing Address - Zip Code:33948-1016
Mailing Address - Country:US
Mailing Address - Phone:650-294-8177
Mailing Address - Fax:
Practice Address - Street 1:10645 N ORACLE RD
Practice Address - Street 2:STE 121-145
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85737-9387
Practice Address - Country:US
Practice Address - Phone:650-294-8177
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-07
Last Update Date:2015-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment