Healthcare Provider Details

I. General information

NPI: 1659600906
Provider Name (Legal Business Name): AUDIOMETRICS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2009
Last Update Date: 09/08/2023
Certification Date: 09/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

826 MAIN ST STE 302
PHOENIXVILLE PA
19460-4459
US

IV. Provider business mailing address

919 CONESTOGA RD BLDG 3, SUITE 112
BRYN MAWR PA
19010-1352
US

V. Phone/Fax

Practice location:
  • Phone: 215-546-6050
  • Fax:
Mailing address:
  • Phone: 215-546-6050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License NumberAT000374L
License Number StatePA

VIII. Authorized Official

Name: JENNIFER ISAYEV
Title or Position: OWNER
Credential:
Phone: 215-546-6050