Nexgen Lab Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

NEXGEN LAB INC

Practice address

6124 N Milwaukee Ave
Suite # 14
Chicago, IL 60646-3830

Phone

(630) 656-7069

NPI assigned

Nov 7, 2015

Organization subpart

No

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

Authorized official

Name

Ali Hockla

Title

President

Phone

(630) 656-7069

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1446854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446854400000",
    "number": "1639542004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6124 N MILWAUKEE AVE",
            "address_2": "SUITE # 14",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606463830",
            "telephone_number": "630-656-7069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6124 N MILWAUKEE AVE",
            "address_2": "SUITE # 14",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606463830",
            "telephone_number": "630-656-7069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXGEN LAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-07",
        "last_updated": "2015-11-07",
        "status": "A",
        "authorized_official_last_name": "HOCKLA",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-656-7069"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regina Newton, LCSW
• Stephanie S Newton, MSPT
• Susan Marie Newton, PTA
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• Clinical Medical Laboratory in Chicago, IL
• Providers in Chicago, 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 Nov 7, 2015; 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.