Organization
ACTIVE LIFE ORTHOTICS AND PROSTHETICS CORP
Active
Organization
ACTIVE LIFE ORTHOTICS AND PROSTHETICS CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PALLAVI NEMANI (COMPLIANCE OFFICER)
(512) 552-6311
Entity
Organization
Contact information
Practice address
124 ALVARADO DR SE, ALBUQUERQUE, NM 87108-2940
(505) 266-1700
(505) 349-5170
Mailing address
124 ALVARADO DR SE, ALBUQUERQUE, NM 87108-2940
(505) 266-1700
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
06/10/2019
Last updated
12/14/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up