Provider Demographics
NPI:1518483544
Name:NEXT GENERATION LABS LLC
Entity Type:Organization
Organization Name:NEXT GENERATION LABS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANGER
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:STEPHEN
Authorized Official - Last Name:METZLER
Authorized Official - Suffix:II
Authorized Official - Credentials:RPT
Authorized Official - Phone:561-833-9960
Mailing Address - Street 1:4047 OKEECHOBEE BLVD STE 217
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-3237
Mailing Address - Country:US
Mailing Address - Phone:561-833-9960
Mailing Address - Fax:561-835-1201
Practice Address - Street 1:611 N MACARTHUR BLVD
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75061-7428
Practice Address - Country:US
Practice Address - Phone:972-254-1777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-22
Last Update Date:2017-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX45D2093064291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX45D2093064OtherSTATE