BALLAD HEALTH IMAGING CENTER, JOHNSON CITY – NPI #1740863968
Physiological Laboratory

A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.

BALLAD HEALTH IMAGING CENTER, JOHNSON CITY is a physiological laboratory located in JOHNSON CITY, TN. NPPES has assigned the NPI number 1740863968 to BALLAD HEALTH IMAGING CENTER, JOHNSON CITY on May 05, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BALLAD HEALTH IMAGING CENTER, JOHNSON CITY” is a dba name, the actual legal business name for this organization is WELLMONT MEDICAL ASSOCIATES, INC.. The primary taxonomy selected by this provider is 293D00000X from the Health Care Provider Taxonomy code set, which is classified as Physiological Laboratory.

The NPI profile was previously updated about 5 years ago on May 21, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BALLAD HEALTH IMAGING CENTER, JOHNSON CITY below.

NPI Profile for
WELLMONT MEDICAL ASSOCIATES, INC.

NPI Number
1740863968
Enumeration Date

(more than 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WELLMONT MEDICAL ASSOCIATES, INC.
Doing Business As (dba): BALLAD HEALTH IMAGING CENTER, JOHNSON CITY
Primary location
301 MED TECH PKWY
JOHNSON CITY, TN 37604-2630
Phone: (423) 302-6239 Fax: (423) 302-6248
Mailing address
311 PRINCETON RD STE 1
JOHNSON CITY, TN 37601-2080
Phone: (423) 302-6239 Fax: (423) 302-6248
Organization Subpart
No
Authorized Official
MARY KRUTAK
EVP/CFO
Phone: (423) 302-3423
Updated
Certification Date
May 21, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
293D00000X
- Physiological Laboratory (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.