Provider Demographics
NPI:1336910702
Name:BALANCING MERIDIANS LLC
Entity type:Organization
Organization Name:BALANCING MERIDIANS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:LACLAIR
Authorized Official - Suffix:
Authorized Official - Credentials:LAC, RN
Authorized Official - Phone:608-345-8541
Mailing Address - Street 1:136 OWEN RD
Mailing Address - Street 2:
Mailing Address - City:MONONA
Mailing Address - State:WI
Mailing Address - Zip Code:53716-3527
Mailing Address - Country:US
Mailing Address - Phone:608-345-8541
Mailing Address - Fax:608-710-0278
Practice Address - Street 1:136 OWEN RD
Practice Address - Street 2:
Practice Address - City:MONONA
Practice Address - State:WI
Practice Address - Zip Code:53716-3527
Practice Address - Country:US
Practice Address - Phone:608-345-8541
Practice Address - Fax:608-710-0278
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-12
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center