NEXTGEN DIAGNOSTIC LAB, LLC
NPI 1568302784
Pathology - Clinical Pathology/Laboratory Medicine in Baltimore, MD

Active since March 30, 2026CLIA 21D2342010 · Waiver
1 N CHARLES ST FL 9, BALTIMORE, MD 21201(443) 781-1216 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nextgen Diagnostic Lab, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NEXTGEN DIAGNOSTIC LAB, LLC (NPI 1568302784) is a healthcare organization registered as a clinical pathology/laboratory medicine in Baltimore, Maryland and active in the NPI registry since March 2026. The organization holds a CLIA Waiver certificate valid through April 12, 2028 and lists Vegas Lahaie, Ceo, as its authorized official.

NPPES Registry Identity

NPI1568302784
Entity TypeOrganization
Primary Taxonomy207ZP0105X
Legal Business NameNEXTGEN DIAGNOSTIC LAB, LLC
Location Address1 N CHARLES ST FL 9Baltimore, MD 21201-3758
Mailing Address295 Limestone CirConyers, GA 30013-5244 · (443) 781-1216 · Fax (443) 781-1216
Organization SubpartNo
Authorized OfficialVegas LahaieCeo · (443) 781-1216
Enumeration DateMarch 30, 2026
NPPES CertifiedMarch 30, 2026
NPI 1568302784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Clinical Pathology/Laboratory MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0105X
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
1 N CHARLES ST FL 9, Baltimore, MD 21201

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2342010

Nextgen Diagnostics LLC · Baltimore, MD
Active · expires Apr 12, 2028
CLIA Number21D2342010
Laboratory TypeIndependent
Certificate Effective DateApril 13, 2026
Certificate Expiration DateApril 12, 2028
Laboratory DirectorTravis C. Louallen
Laboratory Phone(443) 781-1216
Laboratory LocationNextgen Diagnostics LLC1 N Charles St Floor 9, Baltimore, MD 21201
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nextgen Diagnostic Lab, LLC's NPI number?

The NPI number for Nextgen Diagnostic Lab, LLC is 1568302784. It was assigned to this organization in the NPPES registry on March 30, 2026.

Where is Nextgen Diagnostic Lab, LLC located?

Nextgen Diagnostic Lab, LLC is located at 1 N Charles St Fl 9, Baltimore, MD 21201. The listed phone number is (443) 781-1216.

What is Nextgen Diagnostic Lab, LLC's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Pathology/Laboratory Medicine, with taxonomy code 207ZP0105X.

Does Nextgen Diagnostic Lab, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2342010) is associated with this NPI, valid through April 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Nextgen Diagnostic Lab, LLC was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.