Organization
NEXT GENERATION LABS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH STEPHEN METZLER II RPT (MANGER)
(561) 833-9960
Entity
Organization
Contact information
Practice address
611 N MACARTHUR BLVD, IRVING, TX 75061-7428
(972) 254-1777
Mailing address
4047 OKEECHOBEE BLVD STE 217, WEST PALM BEACH, FL 33409-3237
(561) 833-9960
(561) 835-1201
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
45D2093064
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45D2093064
STATE
TX
Enumeration date
08/22/2017
Last updated
08/22/2017
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