Provider Demographics
NPI:1699249474
Name:MRE GOC INC
Entity type:Organization
Organization Name:MRE GOC INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:DODD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-427-5170
Mailing Address - Street 1:217 COLUMBUS RD STE 101
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:OH
Mailing Address - Zip Code:45701-1393
Mailing Address - Country:US
Mailing Address - Phone:412-427-5170
Mailing Address - Fax:
Practice Address - Street 1:217 COLUMBUS RD STE 101
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:OH
Practice Address - Zip Code:45701-1393
Practice Address - Country:US
Practice Address - Phone:412-427-5170
Practice Address - Fax:740-592-2103
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KARR AUDIOLOGY AND HEARING AIDS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-01-15
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech