Provider Demographics
NPI:1770298739
Name:NEXGEN ANALYTICS CORP
Entity type:Organization
Organization Name:NEXGEN ANALYTICS CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:MKHITARIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-486-7115
Mailing Address - Street 1:5250 SANTA MONICA BLVD STE 212
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90029-1254
Mailing Address - Country:US
Mailing Address - Phone:323-486-7115
Mailing Address - Fax:323-524-1613
Practice Address - Street 1:5250 SANTA MONICA BLVD STE 212
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90029-1254
Practice Address - Country:US
Practice Address - Phone:323-486-7115
Practice Address - Fax:323-524-1613
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-13
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory