Perfect Balance Healthcare Advancements LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

PERFECT BALANCE HEALTHCARE ADVANCEMENTS LLC

Practice address

212 York Ave
Weatherford, TX 76086-3252

Phone

(817) 448-0876

Fax

(888) 319-2077

NPI assigned

May 2, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Scott Bullington

Title

President

Phone

(817) 448-0876

Specialties & licenses 1

Addresses

Other names 1

• Integrated Medical Services Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462147200000",
    "number": "1194170787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 YORK AVE",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760863252",
            "telephone_number": "817-448-0876",
            "fax_number": "888-319-2077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 YORK AVE",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760863252",
            "telephone_number": "817-448-0876",
            "fax_number": "888-319-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFECT BALANCE HEALTHCARE ADVANCEMENTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-02",
        "last_updated": "2016-05-02",
        "status": "A",
        "authorized_official_last_name": "BULLINGTON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-448-0876",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrated Medical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ashley Phillips, RD/LD

• Physiological Laboratory in Weatherford, TX
• Providers in Weatherford, TX by specialty
• Physiological Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.