Next Gen Diagnostics LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

NEXT GEN DIAGNOSTICS LLC

Practice address

1300 S Frazier St Ste 109
Conroe, TX 77301-4410

Phone

(307) 218-9062

NPI assigned

Jul 6, 2022

Organization subpart

No

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

Authorized official

Name

Hansell Caraballo

Title

Owner

Phone

(307) 218-9062

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657065600000",
    "number": "1063145290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 HALLADAY ST",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073043325",
            "telephone_number": "307-218-9062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S FRAZIER ST STE 109",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773014410",
            "telephone_number": "307-218-9062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXT GEN DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-06",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-01",
        "status": "A",
        "authorized_official_last_name": "CARABALLO",
        "authorized_official_first_name": "HANSELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-218-9062"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.