NPIMap

Organization Active NPI

Proaction Diagnostics LLC

  • Electroneurodiagnostic Specialist/Technologist
  • Carmel, IN
National Provider Identifier
1164749941
Registry record updated May 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X
Legal business name
PROACTION DIAGNOSTICS LLC
Practice address
11805 N Pennsylvania St
Carmel, IN 46032-4555
Phone
(317) 705-4210
NPI assigned
May 3, 2010
Last updated
May 3, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Jeffrey Lee Smith
Title
Managing Director
Phone
(317) 402-5011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Electroneurodiagnostic Specialist/Technologist 246ZE0600X NU Primary

Addresses

Primary practice location

11805 N Pennsylvania St
Carmel, IN 46032-4555

Mailing address

11805 N Pennsylvania St
Carmel, IN 46032-4555
Phone (317) 705-4210

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1272844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272844800000",
    "number": "1164749941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11805 N PENNSYLVANIA ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460324555",
            "telephone_number": "317-705-4210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11805 N PENNSYLVANIA ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460324555",
            "telephone_number": "317-705-4210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTION DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-03",
        "last_updated": "2010-05-03",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "317-402-5011",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.