Organization Active NPI

Balance Diagnostics LLC

  • Physiological Laboratory
  • Panama City, FL
National Provider Identifier
1437246089
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
BALANCE DIAGNOSTICS LLC
Practice address
2195 Jenks Ave
Panama City, FL 32405-4551
Phone
(850) 522-4770
Fax
(850) 522-4760
NPI assigned
Oct 6, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. James John Piloco
Title
Vice Prresident
Phone
(914) 949-9276

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X NU Primary

Addresses

Primary practice location

2195 Jenks Ave
Panama City, FL 32405-4551

Mailing address

2195 Jenks Ave
Panama City, FL 32405-4551

National Provider Directory

National Provider Directory

Locations

2195 Jenks Ave
Panama City, FL 32405
Phone (800) 621-0816

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": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437246089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2195 JENKS AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2195 JENKS AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054551",
            "telephone_number": "850-522-4770",
            "fax_number": "850-522-4760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCE DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PILOCO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "VICE PRRESIDENT",
        "authorized_official_telephone_number": "914-949-9276",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.