=====================================================
General NPI Number Information
=====================================================
NPI Number | 1144651290
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ACCUQUEST HEARING CENTER, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/27/2013
-----------------------------------------------------
Last Update Date | 01/22/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 606 MEADOWMONT VILLAGE CIRCLE
-----------------------------------------------------
City | CHAPEL HILL
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27517
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 919-904-7780
-----------------------------------------------------
Fax | 919-904-7782
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2501 COTTONTAIL LN
-----------------------------------------------------
City | SOMERSET
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08873-5125
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | VP, REV CYCLE AND PAYER RELATIONS
-----------------------------------------------------
Name | BAHAR BAZMI
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 412-260-1504
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QH0700X
-----------------------------------------------------
Taxonomy Name | Hearing and Speech Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------