Provider Demographics
NPI:1811787146
Name:NEXTGEN LABORATORY INC
Entity type:Organization
Organization Name:NEXTGEN LABORATORY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ARTUR
Authorized Official - Middle Name:
Authorized Official - Last Name:HOVHANNISYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:424-463-7863
Mailing Address - Street 1:8940 FOURWINDS DR STE 304
Mailing Address - Street 2:
Mailing Address - City:WINDCREST
Mailing Address - State:TX
Mailing Address - Zip Code:78239-1900
Mailing Address - Country:US
Mailing Address - Phone:726-233-7344
Mailing Address - Fax:726-208-5906
Practice Address - Street 1:8940 FOURWINDS DR STE 304
Practice Address - Street 2:
Practice Address - City:WINDCREST
Practice Address - State:TX
Practice Address - Zip Code:78239-1900
Practice Address - Country:US
Practice Address - Phone:726-233-7344
Practice Address - Fax:726-208-5906
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-09
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory