NEXTGEN DIAGNOSTIC LAB, LLC
NPI 1568302784
Pathology - Clinical Pathology/Laboratory Medicine in Baltimore, MD
NPI Status: Active since March 30, 2026
Contact Information
1 N CHARLES ST FL 9
BALTIMORE, MD
ZIP 21201
Phone: (443) 781-1216
- Organization
- Pathology
- Clinical Pathology/Laboratory Medicine
- CLIA Number: 21D2342010
- CLIA Cert. Type: Independent
- CLIA Exp. Date: 04-12-2028
About NEXTGEN DIAGNOSTIC LAB, LLC
This page provides the complete NPI Profile along with additional information for Nextgen Diagnostic Lab, Llc, a provider established in Baltimore, Maryland operating as a Pathology, focusing in clinical pathology/laboratory medicine . The healthcare provider is registered in the NPI registry with number 1568302784 assigned on March 2026. The practitioner's primary taxonomy code is 207ZP0105X. The provider is registered as an organization and their NPI record was last updated March 2026. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Vegas Lahaie (Ceo)
- NPI
- 1568302784
- Provider Name
- NEXTGEN DIAGNOSTIC LAB, LLC
- Entity Type
- Organization
- Location Address
- 1 N CHARLES ST FL 9 BALTIMORE, MD 21201
- Location Phone
- (443) 781-1216
- Mailing Address
- 295 LIMESTONE CIR CONYERS, GA 30013
- Mailing Phone
- (443) 781-1216
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-30-2026
- Last Update Date
- 03-30-2026
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pathology Clinical Pathology/Laboratory Medicine
- Taxonomy Code
- 207ZP0105X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 21D2342010
- Facility Type
- Independent
- Certificate Effective Date
- April 13, 2026
- Certificate Expiration Date
- April 12, 2028
- Laboratory Director
- TRAVIS C. LOUALLEN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Nextgen Diagnostic Lab, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1568302784, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 66 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1568302784, enumerated as an "organization" on March 30, 2026.
The provider is located at 1 N CHARLES ST FL 9 BALTIMORE, MD 21201 and the phone number is (443) 781-1216.
Pathology with taxonomy code 207ZP0105X and a focus in Clinical Pathology/Laboratory Medicine.