Organization Active NPI

Balance for Life Center LLC

  • Otolaryngology Physician
  • Murray, UT
National Provider Identifier
1295992477
Registry record updated Sep 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
BALANCE FOR LIFE CENTER LLC
Practice address
291 E 4500 S
Murray, UT 84107-3883
Phone
(801) 264-1010
Fax
(801) 264-1027
NPI assigned
May 16, 2008
Last updated
Sep 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2008

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

Authorized official

Name
Craig A Blamires
Title
MBR
Phone
(801) 264-1010

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU
Otolaryngology Physician 207Y00000X NU Primary
Physical Therapist 225100000X NU

Addresses

Primary practice location

291 E 4500 S
Murray, UT 84107-3883

Mailing address

291 E 4500 S
Murray, UT 84107-3883
Phone (801) 264-1010

National Provider Directory

National Provider Directory

Locations

291 E 4500 S
Salt Lake City, UT 84107
Phone (801) 264-1010

291 E 4500 S
Ste B
Salt Lake City, UT 84107
Phone (801) 261-2829

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221004800000",
    "number": "1295992477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 E 4500 S",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841073883",
            "telephone_number": "801-264-1010",
            "fax_number": "801-264-1027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 E 4500 S",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841073883",
            "telephone_number": "801-264-1010",
            "fax_number": "801-264-1027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCE FOR LIFE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-16",
        "last_updated": "2008-09-10",
        "status": "A",
        "authorized_official_last_name": "BLAMIRES",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "801-264-1010"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2008; 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.