OrganizationActive
Active Management LLC
NPI 1912368200 · Clinical Pathology/Laboratory Medicine Physician · Las Vegas, NV
Provider details
- NPI number
- 1912368200
- Entity type
- Organization
- Primary specialty
- Clinical Pathology/Laboratory Medicine PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Smita Chaudhari, Partner
- License
- NV20151072257 (NV)
Practice location
8445 S Eastern Ave
Las Vegas, NV 89123-2893
Phone: (702) 463-3784
Fax: (702) 463-3236
Mailing address
8445 S Eastern Ave
Las Vegas, NV 89123-2893
Registry dates
- Enumerated
- 2016-03-14
- Last updated
- 2016-03-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.