institution
Active Diagnostics, Llc
Electroneurodiagnostic Specialist/Technologist in Brentwood, Tennessee
NPI 1720162514

Active Diagnostics, Llc is a Electroneurodiagnostic Specialist/Technologist based in Brentwood, TN and is specialized in Electroneurodiagnostic. Active Diagnostics, Llc practices in Brentwood, TN. The NPI Number for Active Diagnostics, Llc is 1720162514 and holds a License No. (Tennessee).

The current practice location address for Active Diagnostics, Llc is 3 Maryland Farms Ste 200, Brentwood, TN and can be reached out via phone at 800-348-4565 and via fax at 615-345-5405. You can also correspond with Active Diagnostics, Llc through the mailing address at 3 MARYLAND FARMS STE 200, BRENTWOOD, TN - 37027-5005 (mailing address contact number: 800-348-4565).

Location: 3 Maryland Farms Ste 200, Brentwood, TN, 37027-5005
institution
Provider Profile Details
NPI Number
1720162514
Provider Name
Active Diagnostics, Llc
Credential
Provider Entity Type
Organization
Address
3 Maryland Farms Ste 200, Brentwood, TN, 37027-5005
Phone Number
800-348-4565
Fax Number
615-345-5405
Provider Enumeration Date
10/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZ0521Z 01 CA BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
3 Maryland Farms Ste 200
City
State
Zip
37027-5005
Phone Number
800-348-4565
Fax Number
615-345-5405
person
Provider Business Mailing Address Details
Address
3 Maryland Farms Ste 200
City
State
Zip
37027-5005
Phone Number
800-348-4565
Fax Number
615-345-5405
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
Electroneurodiagnostic
Taxonomy
License No.
()
Definition
Definition to come...
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