Organization
NXGEN MDX, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN MACK (PRESIDENT/CEO)
(847) 343-0402
Entity
Organization
Contact information
Practice address
801 BROADWAY AVE NW, SUITE 203, GRAND RAPIDS, MI 49504-4462
(855) 776-9436
(616) 710-4667
Mailing address
PO BOX 72512, CLEVELAND, OH 44192-0002
(855) 776-9436
(616) 710-4667
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/15/2013
Last updated
09/29/2022
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