Healthcare Provider Details

I. General information

NPI: 1194662866
Provider Name (Legal Business Name): RADIANT HEARING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2504 E LIBRA ST
GILBERT AZ
85234-1107
US

IV. Provider business mailing address

2504 E LIBRA ST
GILBERT AZ
85234-1107
US

V. Phone/Fax

Practice location:
  • Phone: 480-269-4505
  • Fax:
Mailing address:
  • Phone: 480-269-4505
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name: CORALEE CHOULES
Title or Position: OWNER
Credential: AUD
Phone: 801-471-9566