Organization
THE HEARING LAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL STEVEN MARINO B.C.-H.I.S. (OWNER)
(855) 703-4637
Entity
Organization
Contact information
Practice address
2151 BLUESTONE DR, SAINT CHARLES, MO 63303-6704
(855) 703-4637
(636) 946-1754
Mailing address
2151 BLUESTONE DR, SAINT CHARLES, MO 63303-6704
(855) 703-4637
(636) 946-1754
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
4118-4203
IL
Other
Enumeration date
10/04/2013
Last updated
10/04/2013
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