Healthcare Provider Details

I. General information

NPI: 1801291208
Provider Name (Legal Business Name): SRF INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2014
Last Update Date: 05/17/2022
Certification Date: 05/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 S POWER RD STE 111
MESA AZ
85206-5222
US

IV. Provider business mailing address

300 N PORTLAND AVE
GILBERT AZ
85234-1320
US

V. Phone/Fax

Practice location:
  • Phone: 480-258-6050
  • Fax: 480-830-0090
Mailing address:
  • Phone: 480-225-9594
  • Fax: 866-397-4795

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: LAWANA SHAFFER
Title or Position: PRESIDENT
Credential:
Phone: 480-225-9594