ACTIVE DIAGNOSTICS, LLC – NPI #1720162514
Specialist/Technologist, Other

ACTIVE DIAGNOSTICS, LLC is a technologist located in BRENTWOOD, TN. NPPES has assigned the NPI number 1720162514 to ACTIVE DIAGNOSTICS, LLC on October 25, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 246ZE0600X from the Health Care Provider Taxonomy code set, which is classified as Specialist/Technologist, Other, specializing in Electroneurodiagnostic

The NPI profile was previously updated about 8 years ago on Jul 20, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ACTIVE DIAGNOSTICS, LLC below.

NPI Profile for
ACTIVE DIAGNOSTICS, LLC

NPI Number
1720162514
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ACTIVE DIAGNOSTICS, LLC
Primary location
3 MARYLAND FARMS STE 200
BRENTWOOD, TN 37027-5005
Phone: (800) 348-4565 Fax: (615) 345-5405
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JEFFREY GRAY
EXECUTIVE VICE PRESIDENT, CFO AND C
Phone: (800) 348-4565
Updated
Identifiers

Identifiers for ACTIVE DIAGNOSTICS, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE SHIELDCAZZZ0521Z
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
246ZE0600X
- Specialist/Technologist, Other / Electroneurodiagnostic (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.