Healthcare Provider Details

I. General information

NPI: 1700017993
Provider Name (Legal Business Name): ACCUQUEST HEARING CENTER, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2009
Last Update Date: 02/13/2025
Certification Date: 02/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99 NAVAHO AVE STE 103
MANKATO MN
56001-4877
US

IV. Provider business mailing address

2501 COTTONTAIL LN
SOMERSET NJ
08873-5125
US

V. Phone/Fax

Practice location:
  • Phone: 507-386-1025
  • Fax: 507-386-1027
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number5960
License Number StateMN

VIII. Authorized Official

Name: BAHAR BAZMI
Title or Position: VP, REVENUE CYCLE & PAYER RELATIONS
Credential:
Phone: 412-260-1504