Organization
NEXTGEN DIAGNOSTIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NANDA ABIGAIL NUNNELLY-SPARKS (LAB DIRECTOR/OWNER)
(417) 499-1525
Entity
Organization
Contact information
Practice address
407 S PENNSYLVANIA AVE STE 202, JOPLIN, MO 64801-2281
(417) 362-6398
Mailing address
407 S PENNSYLVANIA AVE STE 202, JOPLIN, MO 64801-2281
(417) 362-6398
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
03/18/2022
Last updated
03/18/2022
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