Provider Demographics
NPI:1568785046
Name:LABTITUDE LLC
Entity Type:Organization
Organization Name:LABTITUDE LLC
Other - Org Name:BALANCE AWARENESS NETWORK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF CLINICAL SERVICES
Authorized Official - Prefix:MR
Authorized Official - First Name:DINO
Authorized Official - Middle Name:VINCENT
Authorized Official - Last Name:SORIANO
Authorized Official - Suffix:SR
Authorized Official - Credentials:RN
Authorized Official - Phone:407-702-8095
Mailing Address - Street 1:13755 GREENTREE TRL
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-4047
Mailing Address - Country:US
Mailing Address - Phone:561-283-4015
Mailing Address - Fax:
Practice Address - Street 1:13755 GREENTREE TRL
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-4047
Practice Address - Country:US
Practice Address - Phone:561-283-4015
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-11
Last Update Date:2010-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory