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1467817999
NEXGEN LAB, LLC
PORT ST LUCIE, FL
NPI
1467817999
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Entity Type
Organization
Authorized Contact
WILLIAM DEISSROTH
Manager
267-592-0542
Organization Subpart ?
No
Primary Taxonomy
291U00000X Clinical Medical Laboratory
Enumeration Date
2015-12-29
Last Update Date
2015-12-29
Business Address
NEXGEN LAB, LLC
11350 SW VILLAGE PKWY
PORT ST LUCIE, FL 34987-2352
Phone number: 267-592-0542
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Mailing Address
NEXGEN LAB, LLC
7999 N FEDERAL HWY 429
BOCA RATON, FL 33487-1682
Phone number:
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