NPI 1356009401
Active Lane LLC
Practice location
- Address
- 6722 College Park CT SW APT 8, Cedar Rapids, IA 52404-7511
- Phone
- (682) 241-0907
Authorised official
- Name
- Theophile Nizigama
- Title
- Chief Executive Officer
- Phone
- (682) 241-0907
Registered specialties
Non-emergency Medical Transport (VAN)
Primary
Registry record
- NPI
- 1356009401
- Entity type
- Organization
- NPI issued
- 6 Dec 2021
- Record last updated
- 6 Dec 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.