Provider Demographics
NPI:1033880224
Name:NEXX GEN LABORATORIES
Entity type:Organization
Organization Name:NEXX GEN LABORATORIES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TODD
Authorized Official - Middle Name:
Authorized Official - Last Name:BUNGER-MANSOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-999-8383
Mailing Address - Street 1:3703 CAMINO DEL RIO S STE 210
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-4033
Mailing Address - Country:US
Mailing Address - Phone:206-999-8383
Mailing Address - Fax:
Practice Address - Street 1:3703 CAMINO DEL RIO S STE 210
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-4033
Practice Address - Country:US
Practice Address - Phone:206-999-8383
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-27
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory