Nextgen Medical Labs LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

NEXTGEN MEDICAL LABS LLC

Practice address

161 W Irving Park Rd
Roselle, IL 60172-1119

Phone

(224) 460-5320

NPI assigned

Jan 24, 2022

Organization subpart

No

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

Authorized official

Name

Ikram Khaja

Title

Ceo

Phone

(331) 245-4326

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1642982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670803200000",
    "number": "1043962764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 W IRVING PARK RD",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601721119",
            "telephone_number": "224-460-5320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 W IRVING PARK RD",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601721119",
            "telephone_number": "224-460-5320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXTGEN MEDICAL LABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-24",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A",
        "authorized_official_last_name": "KHAJA",
        "authorized_official_first_name": "IKRAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "331-245-4326"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Roselle, IL
• Providers in Roselle, IL by specialty
• Clinical Medical Laboratory in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; 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.