CHARLES ELLIS BALENTINE NPI 1164936878

NPI Information

NPI: 1164936878
Provider Name: CHARLES ELLIS BALENTINE
Classification: Specialist/Technologist, Pathology - 246QL0900X
Specialization: Laboratory Management
Entity Type: Individual
Address: 315 DEADERICK ST STE 1550
NASHVILLE, TN
ZIP 37238
Phone: (615) 521-4380

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NPI Details

Charles Ellis Balentine is a laboratory management specialist technologist pathology in Nashville, TN. Charles Ellis Balentine NPI is 1164936878. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

315 DEADERICK ST STE 1550
NASHVILLE, TN
ZIP 37238-003
Phone: (615) 521-4380
Fax: (615) 521-4380

The enumeration date for this NPI number is 11/17/2017 and was last updated on 11/17/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	246QL0900X	Specialist/Technologist, Pathology	Laboratory Management	44D2125377	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	44D2125377	OTHER	TENNESSEE	LICENSURE/LAB (CMS)

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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