Organization
ACTIVE MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SMITA CHAUDHARI (PARTNER)
(702) 325-3184
Entity
Organization
Contact information
Practice address
8445 S EASTERN AVE, LAS VEGAS, NV 89123-2893
(702) 463-3784
(702) 463-3236
Mailing address
8445 S EASTERN AVE, LAS VEGAS, NV 89123-2893
(702) 463-3784
(702) 463-3236
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
NV20151072257
NV
Other
Enumeration date
03/14/2016
Last updated
03/14/2016
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