OrganizationActive
Energy Renewal Revolutionized Unltd. LLC
NPI 1972458909 · Diplomate Laboratory Management Specialist/Technologist · Bronx, NY
Provider details
- NPI number
- 1972458909
- Entity type
- Organization
- Primary specialty
- Diplomate Laboratory Management Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Organization subpart
- No
- Authorized official
- David Hall, Principal Investigator(929) 909-1468
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
1039 Washington Ave
Bronx, NY 10456
Phone: (833) 912-3998
Fax: (929) 644-6597
Approximate (ZIP-level) locationGet directions
Mailing address
1039 Washington Ave
Bronx, NY 10456
Registry dates
- Enumerated
- 2026-03-04
- Last updated
- 2026-03-04
- Certified
- 2026-03-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.