# AUDIO VESTIBULAR ASSESSMENT, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** AVA Hearing Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265769947
- **Authorized official:** MRS. KAREN ANN JACOBS AUD (OWNER/PRESIDENT)
- **Authorized official phone:** (616) 365-1979

## Contact information

- **Practice address:** 5344 PLAINFIELD AVE NE, SUITE 4, GRAND RAPIDS, MI 49525-1009
- **Practice address phone:** (616) 365-1979
- **Practice address fax:** (616) 365-1964
- **Mailing address:** 5344 PLAINFIELD AVE NE, SUITE 4, GRAND RAPIDS, MI 49525-1009
- **Mailing address phone:** (616) 365-1979
- **Mailing address fax:** (616) 365-1964

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | KJ000001 | MI | Yes |
| 261QH0700X | Hearing and Speech Clinic/Center | KJ000001 | MI | — |

## Other

- **Enumeration date:** 11/17/2009
- **Last updated:** 03/07/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 804687934 | — | MI |
| 05 | — | 903499018 | — | MI |