OrganizationActive
Active Lane LLC
NPI 1356009401 · Non-emergency Medical Transport (VAN) · Cedar Rapids, IA
Provider details
- NPI number
- 1356009401
- Entity type
- Organization
- Primary specialty
- Non-emergency Medical Transport (VAN)Transportation Services
- Organization subpart
- No
- Authorized official
- Theophile Nizigama, Chief Executive Officer(682) 241-0907
Specialties & taxonomies
Transportation Services
Practice location
6722 College Park Ct Sw Apt 8
Cedar Rapids, IA 52404-7511
Phone: (682) 241-0907
Approximate (ZIP-level) locationGet directions
Mailing address
6722 College Park Ct Sw Apt 8
Cedar Rapids, IA 52404-7511
Registry dates
- Enumerated
- 2021-12-06
- Last updated
- 2021-12-06
- Certified
- 2021-12-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.