NXGEN MDX LLC NPI 1447022819

NPI Information

  • NPI: 1447022819
  • Provider Name: NXGEN MDX, LLC
  • Classification: Clinic/Center - 261QG0250X
  • Specialization: Genetics
  • Entity Type: Organization
  • Address: 801 BROADWAY AVE NW STE 203
    GRAND RAPIDS, MI
    ZIP 49504
  • Phone: (855) 776-9436

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NPI Details

NXGEN MDX, LLC is a genetics clinic center in Grand Rapids, MI. The provider is an entity, facility, or distinct part of a facility providing analysis of family history, genetic laboratory testing and analysis, diagnosis of genetic trait, prognosis and options. Laboratory studies may be outsourced. NXGEN MDX, LLC NPI is 1447022819. The provider is registered as an organization entity type.

The provider's business location address is:

801 BROADWAY AVE NW STE 203
GRAND RAPIDS, MI
ZIP 49504-463
Phone: (855) 776-9436
Fax: (616) 710-4667

The provider's authorized official is Alan Mack .
The authorized official title is Ceo and has the following contact phone number (847) 343-0402.

The enumeration date for this NPI number is 10/27/2023 and was last updated on 10/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QG0250XClinic/CenterGeneticsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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