Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lakeside Audiology LLC

Organization Audiologist · NPI 1417341280

Lakeside Audiology LLC is an Audiologist in Fort Mill, South Carolina. Licensed in North Carolina and South Carolina. Registered with an NPI since 2015.

Licensed in
NC, SC
In the registry since
2015
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

870 Gold Hill Rd Ste 104
Fort Mill, SC 29708-8988
Phone: (803) 620-8250
Fax: (803) 638-6901
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hearing and Speech Clinic/Center (primary) Taxonomy 261QH0700X · Licence 4011 (SC)
Audiologist Taxonomy 231H00000X
Speech-Language Pathologist Taxonomy 235Z00000X
Hearing and Speech Clinic/Center Taxonomy 261QH0700X · Licence 9758 (NC)

Record details

NPI number1417341280
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Block — Doctor Of Audiology · (803) 412-6789
NPI enumeratedMarch 19, 2015
Last updated in NPPESNovember 19, 2021
Certification dateNovember 19, 2021
Mailing address870 Gold Hill Rd Ste 104, Fort Mill, SC 29708-8988

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