Organization
INNOVATE 360 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAJI RAJU (OWNER)
(214) 902-6635
Entity
Organization
Contact information
Practice address
1200 QUEEN PEGGY LN, LEWISVILLE, TX 75056-5809
(214) 902-6635
Mailing address
1200 QUEEN PEGGY LN, LEWISVILLE, TX 75056-5809
(214) 902-6635
Taxonomy
Speciality
Code
Description
License number
State
246Y00000X
Health Information Specialist/Technologist
—
—
246Z00000X
Other Specialist/Technologist
—
—
247000000X
Health Information Technician
Primary
—
—
Other
Enumeration date
06/13/2025
Last updated
06/13/2025
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