Organization Active NPI

Nexa Labs LLC

  • Clinical Medical Laboratory
  • Philadelphia, PA
National Provider Identifier
1124994561
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
NEXA LABS LLC
Practice address
410 N 63Rd St
Philadelphia, PA 19151-4120
Phone
(267) 515-7755
NPI assigned
Oct 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Authorized official

Name
Safdar Ahmad
Title
Ceo
Phone
(267) 515-7755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

410 N 63Rd St
Philadelphia, PA 19151-4120

Mailing address

410 N 63Rd St
Philadelphia, PA 19151-4120

National Provider Directory

National Provider Directory

Locations

410 N 63rd St
Philadelphia, PA 19151
Phone (267) 515-7755

NPI Registry JSON

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

{
    "created_epoch": "1760400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760400000000",
    "number": "1124994561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 N 63RD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191514120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 N 63RD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191514120",
            "telephone_number": "267-515-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXA LABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-14",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "SAFDAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "267-515-7755"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; 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.