NPI 1912368200

Active Management LLC

Organisation Clinical Pathology/Laboratory Medicine Physician Las Vegas, NV

Practice location

Address: 8445 S Eastern Ave, Las Vegas, NV 89123-2893
Phone: (702) 463-3784
Fax: (702) 463-3236

Authorised official

Name: Smita Chaudhari
Title: Partner
Phone: (702) 325-3184

Registered specialties

Clinical Pathology/Laboratory Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZP0105X Licence NV20151072257 (NV)

Other Pathology providers in Nevada →

Registry record

NPI: 1912368200
Entity type: Organization
NPI issued: 14 Mar 2016
Record last updated: 14 Mar 2016

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.