Lakeside Audiology Llc
LBN: Lakeside Audiology Llc
Lakeside Audiology Llc is an health care organization with primary practice located at 870 Gold Hill Rd Ste 104 , Fort Mill SC 29708-8988. The organization recently has 3 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Ambulatory Health Care Facilities / Hearing and Speech. Ambulatory Health Care Facilities / Hearing and Speech is the primary health care specialty.
Lakeside Audiology Llc can be contacted via phone (803) 620-8250, or through Block, Kimberly via phone (803) 412-6789.
Contact Information
Primary practice address
870 Gold Hill Rd Ste 104
Fort Mill SC 29708-8988
Phone: (803) 620-8250
Fax: (803) 638-6901
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | ||
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | ||
| Ambulatory Health Care Facilities / Hearing and Speech | 261QH0700X | 4011 | South Carolina |
| Ambulatory Health Care Facilities / Hearing and Speech | 261QH0700X | 9758 | North Carolina |
Profile Details
| NPI number | 1417341280 |
|---|---|
| LBN Legal business name | Lakeside Audiology Llc |
| DBA Doing business as | |
| Authorized official | Block, Kimberly AUD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 19th, 2015 |
| Last updated | Nov 19th, 2021 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417341280 | NPPES |
| South Carolina | MEDICAID | SA1525 |
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