Organization
NXGEN MDX, LLC
Active
Parent organization
CLINICAL LABORATORY
Other names
NxGen MDx Genetic Counseling Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLINICAL LABORATORY
Authorized official
ALAN MACK (CEO)
(847) 343-0402
Entity
Organization
Contact information
Practice address
801 BROADWAY AVE NW STE 203, GRAND RAPIDS, MI 49504-4463
(855) 776-9436
(616) 710-4667
Mailing address
801 BROADWAY AVE NW STE 203, GRAND RAPIDS, MI 49504-4463
(855) 776-9436
(616) 710-4667
Taxonomy
Speciality
Code
Description
License number
State
261QG0250X
Genetics Clinic/Center
Primary
—
—
Other
Enumeration date
10/27/2023
Last updated
10/27/2023
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