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LAKESIDE AUDIOLOGY LLC
NPI 1417341280
Clinic/Center - Hearing and Speech in Fort Mill, SC

Active since March 19, 2015
870 GOLD HILL RD STE 104, FORT MILL, SC 29708(803) 620-8250(803) 638-6901 Get Directions Write a Review

NPPES record last updated: November 19, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 19, 2021, Dec 30, 2016 (2 updates tracked since 2016).

About Lakeside Audiology Llc NPPES

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

LAKESIDE AUDIOLOGY LLC (NPI 1417341280) is a healthcare organization registered as a hearing and speech in Fort Mill, South Carolina and active in the NPI registry since March 2015. The organization lists Kimberly Block, Doctor Of Audiology, as its authorized official.

NPPES Registry Identity

NPI1417341280
Entity TypeOrganization
Primary Taxonomy261QH0700X
Legal Business NameLAKESIDE AUDIOLOGY LLC
Location Address870 GOLD HILL RD STE 104Fort Mill, SC 29708-8988
Mailing Address870 Gold Hill Rd Ste 104Fort Mill, SC 29708-8988 · (803) 620-8250 · Fax (803) 638-6901
Phone(803) 620-8250
Fax(803) 638-6901
Organization SubpartNo
Authorized OfficialKimberly BlockDoctor Of Audiology · (803) 412-6789
Enumeration DateMarch 19, 2015
Last NPPES UpdateNovember 19, 20212 updates tracked since enumeration
NPPES CertifiedNovember 19, 2021
✔ NPI 1417341280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Hearing and SpeechAmbulatory Health Care Facilities
Taxonomy Code261QH0700X
Licenses✔ Licensed in SC · 4011✔ Licensed in NC · 9758
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability.
Also ListedAudiologistTaxonomy 231H00000X
Also ListedSpeech-Language PathologistTaxonomy 235Z00000X
870 GOLD HILL RD STE 104, Fort Mill, SC 29708
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Other Identifiers 1

MedicaidSA1525SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.Insurance ›

Other Providers at the Same Location NPPES 4

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

SHANNON WEYNAND
Speech-Language Pathologist
870 GOLD HILL RD STE 104
FORT MILL, SC 29708
York County (803) 620-8250
DR. KELLY TAYLOR SCHLICHER AUD
Audiologist
870 GOLD HILL RD STE 104
FORT MILL, SC 29708
York County (803) 620-8250
JENNA VIDITZ-WARD AUD
Audiologist
870 GOLD HILL RD STE 104
FORT MILL, SC 29708
York County (803) 620-8250
DR. KIMBERLY L BLOCK AU.D.
Audiologist
870 GOLD HILL RD STE 104
FORT MILL, SC 29708
York County (803) 620-8250

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 Lakeside Audiology LLC's NPI number?

The NPI number for Lakeside Audiology LLC is 1417341280. It was assigned to this organization in the NPPES registry on March 19, 2015.

Where is Lakeside Audiology LLC located?

Lakeside Audiology LLC is located at 870 Gold Hill Rd Ste 104, Fort Mill, SC 29708. The listed phone number is (803) 620-8250.

What is Lakeside Audiology LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Hearing and Speech, with taxonomy code 261QH0700X.

What insurance does Lakeside Audiology LLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and Molina Healthcare list Lakeside Audiology LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lakeside Audiology LLC was last updated on November 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.