Nextwave Diagnostic Laboratories, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

NEXTWAVE DIAGNOSTIC LABORATORIES, LLC

Practice address

1915 S 17TH St
Suite 100
Wilmington, NC 28401-6626

Phone

(910) 202-2400

Fax

(910) 202-2499

NPI assigned

Mar 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Christopher D. McKinney, M.D.NPI 1790773877

Title

Medical Director/ Partner

Phone

(910) 202-2400

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher Dale McKinney Sr., MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Wilmington, NC
  • NPI 1790773877
  NPD (past) Authorized official

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831158757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 S 17TH ST",
            "address_2": "SUITE 100",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016626",
            "telephone_number": "910-202-2400",
            "fax_number": "910-202-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 S 17TH ST",
            "address_2": "SUITE 100",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016626",
            "telephone_number": "910-202-2400",
            "fax_number": "910-202-2499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXTWAVE DIAGNOSTIC LABORATORIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCKINNEY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/ PARTNER",
        "authorized_official_telephone_number": "910-202-2400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7001244",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn Gencie Newell, DO
• Lucretia P Newkirk, NP
• Trilby Newkirk, PA
• Zachary W Newkirk, DDS
• Natalie H Newton, PH.D.
• Ashlee Kieu Nguyen, LCSWA
• Phuong Quynh Thi Nguyen, PA-C
• Tam Duy Nguyen, MD
• Nicholas Hiteshew
• Katherine Huey Nicholas, CPNP-PC

• Clinical Medical Laboratory in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Clinical Medical Laboratory in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.