ARIZONA STATE UNIVERSITY
NPI 1063883924
Audiologist in Tempe, AZ

Active since October 16, 2015CLIA 03D2200030 · Waiver
975 S. MYRTLE AVENUE, COOR HALL 2211, TEMPE, AZ 85281(480) 965-2373 Get Directions Write a Review

NPPES record last updated: October 30, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Arizona State University NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ARIZONA STATE UNIVERSITY (NPI 1063883924) is a healthcare organization registered as an audiologist in Tempe, Arizona and active in the NPI registry since October 2015. The organization holds a CLIA Waiver certificate valid through November 11, 2026 and lists Ingrid Mcbride, Director Of Audiology, as its authorized official.

NPPES Registry Identity

NPI1063883924
Entity TypeOrganization
Primary Taxonomy231H00000X
Legal Business NameARIZONA STATE UNIVERSITY
Location Address975 S. MYRTLE AVENUE, COOR HALL 2211Tempe, AZ 85281
Mailing AddressPo Box 870102, Coor Hall 2211Tempe, AZ 85287-0102 · (480) 965-2373
Organization SubpartNo
Authorized OfficialIngrid McbrideDirector Of Audiology · (480) 965-2373
Enumeration DateOctober 16, 2015
Last NPPES UpdateOctober 30, 2015
NPI 1063883924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers
Taxonomy Code231H00000X
License Licensed in AZ · DA9693
Definition
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
975 S. MYRTLE AVENUE, Tempe, AZ 85281

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2200030

Arizona State University Employee Health Services · Tempe, AZ
Active · expires Nov 11, 2026
CLIA Number03D2200030
Laboratory TypeEmployee Health
Certificate Effective DateNovember 12, 2024
Certificate Expiration DateNovember 11, 2026
Laboratory DirectorStephanie Durst-Rael
Laboratory Phone(480) 965-1823
Laboratory LocationArizona State University Employee Health Services1492 S Mill Ave Ste 105, Tempe, AZ 85281
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Audiologist-Hearing Aid Fitter
975 S. MYRTLE AVENUE, SUITE 2211
TEMPE, AZ 85281

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Arizona State University's NPI number?

The NPI number for Arizona State University is 1063883924. It was assigned to this organization in the NPPES registry on October 16, 2015.

Where is Arizona State University located?

Arizona State University is located at 975 S. Myrtle Avenue Coor Hall 2211, Tempe, AZ 85281. The listed phone number is (480) 965-2373.

What is Arizona State University's specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

Does Arizona State University hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2200030) is associated with this NPI, valid through November 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Arizona State University was last updated on October 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.