Healthcare Provider Details
I. General information
NPI: 1265301386
Provider Name (Legal Business Name): SABO AUDIOLOGY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/05/2025
Last Update Date: 11/05/2025
Certification Date: 11/05/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
966 W MAIN ST STE E
ABINGDON VA
24210-2483
US
IV. Provider business mailing address
1084 W OAKLAND AVE APT 1019
JOHNSON CITY TN
37604-2575
US
V. Phone/Fax
- Phone: 276-285-2327
- Fax:
- Phone: 304-910-1631
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332S00000X |
| Taxonomy | Hearing Aid Equipment |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
MATTHEW
TYLER
SABO
Title or Position: AUDIOLOGIST/OWNER
Credential: AU.D., CCC-A
Phone: 304-910-1631