Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Lakeside Audiology LLC

Q: What type of organization is Lakeside Audiology LLC?

Lakeside Audiology LLC is registered in NPPES as a Hearing and Speech Clinic/Center (its primary provider taxonomy).

Hearing and Speech Clinic/Center in Fort Mill, SC · enumerated 2015 · authorized official Kimberly Block, Doctor of Audiology.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417341280

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Registry record

Entity type Organization (Type 2)

Legal business name Lakeside Audiology LLC

Practice address 870 Gold Hill Rd Ste 104, Fort Mill, SC, 29708

Phone (803) 620-8250

Fax (803) 638-6901

Enumeration date Mar 19, 2015

Last updated in NPPES Nov 19, 2021

Taxonomy & classification

231H00000X Audiologist Speech, Language and Hearing Service Providers Secondary

235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers Secondary

261QH0700X Hearing and Speech Clinic/Center Ambulatory Health Care Facilities · License 4011 (SC) Primary

261QH0700X Hearing and Speech Clinic/Center Ambulatory Health Care Facilities · License 9758 (NC) Secondary

Authorized official

Name Kimberly Block

Title Doctor of Audiology

Phone (803) 412-6789

Other identifiers

Identifier	Type	State	Issuer
SA1525	Medicaid	SC	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Lakeside Audiology LLC?

Lakeside Audiology LLC is registered in NPPES as a Hearing and Speech Clinic/Center (its primary provider taxonomy).

Providers at this address

Browse all →

Kimberly Block Audiologist · Fort Mill, SC NPI 1831317767 Shannon Weynand Speech-Language Pathologist · Fort Mill, SC NPI 1083140776 Jenna Viditz-Ward Audiologist · Fort Mill, SC NPI 1093555716 Kelly Schlicher Audiologist · Fort Mill, SC NPI 1083547699

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-11-19.