Organization
PROACTION DIAGNOSTICS LLC
Active
Organization
PROACTION DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY LEE SMITH (MANAGING DIRECTOR)
(317) 402-5011
Entity
Organization
Contact information
Practice address
11805 N PENNSYLVANIA ST, CARMEL, IN 46032-4555
(317) 705-4210
Mailing address
11805 N PENNSYLVANIA ST, CARMEL, IN 46032-4555
(317) 705-4210
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
05/03/2010
Last updated
05/03/2010
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