Healthcare Provider Details

I. General information

NPI: 1164707998
Provider Name (Legal Business Name): AUDIOLOGY DISTRIBUTION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2011
Last Update Date: 10/23/2025
Certification Date: 10/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7136 MUIRFIELD DR STE C-100
DUBLIN OH
43017
US

IV. Provider business mailing address

PO BOX 200132
DALLAS TX
75320-0132
US

V. Phone/Fax

Practice location:
  • Phone: 614-764-1510
  • Fax: 614-798-8611
Mailing address:
  • Phone: 561-478-8770
  • Fax: 561-598-7231

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State

VIII. Authorized Official

Name: MORGAN KLEIN
Title or Position: DIRECTOR OF INSURANCE OPERATIONS
Credential:
Phone: 561-678-3394