OrganizationActive
Active Diagnostics, LLC
NPI 1720162514 · Electroneurodiagnostic Specialist/Technologist · Brentwood, TN
Provider details
- NPI number
- 1720162514
- Entity type
- Organization
- Primary specialty
- Electroneurodiagnostic Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Authorized official
- Jeffrey Gray, Executive Vice President, Cfo and C
Practice location
3 Maryland Farms Ste 200
Brentwood, TN 37027-5005
Phone: (800) 348-4565
Fax: (615) 345-5405
Mailing address
3 Maryland Farms Ste 200
Brentwood, TN 37027-5005
Registry dates
- Enumerated
- 2006-10-25
- Last updated
- 2018-07-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.