Organization
NEXT GEN DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HANSELL CARABALLO (OWNER)
(307) 218-9062
Entity
Organization
Contact information
Practice address
1300 S FRAZIER ST STE 109, CONROE, TX 77301-4410
(307) 218-9062
Mailing address
171 HALLADAY ST, JERSEY CITY, NJ 07304-3325
(307) 218-9062
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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