Organization
MOBILE AUDIOLOGY ASSOCIATES, P.C.
Active
Other names
HealthDrive Audiology Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA L. TASSE AUD (OWNER/PRESIDENT)
(617) 964-6681
Entity
Organization
Contact information
Practice address
200 S EXECUTIVE DR, SUITE 101, BROOKFIELD, WI 53005-4216
(414) 535-8134
(414) 535-8135
Mailing address
100 CROSSING BLVD, SUITE 300, FRAMINGHAM, MA 01702-5555
(617) 964-6681
(339) 686-2561
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41173200
—
WI
01
—
CI6118
MEDICARE RAILROAD
WI
Enumeration date
07/05/2006
Last updated
01/02/2020
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