NEXTWAVE DIAGNOSTIC LABORATORIES, LLC (NPI# 1831158757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831158757 |
| Entity Type | Organization |
| Organization Name | NEXTWAVE DIAGNOSTIC LABORATORIES, LLC |
| Practice Address |
1915 S 17th St Suite 100 Wilmington NC 28401-6626 |
| Practice Telephone | 9102022400 |
| Practice Fax Number | 9102022499 |
| Mailing Telephone | 9102022400 |
| Mailing Fax Number | 9102022499 |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. CHRISTOPHER D. MCKINNEY (MEDICAL DIRECTOR/ PARTNER) |
| Authorized Official Telephone | 9102022400 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | NC | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7001244 | 05 |
| Street Address |
1915 S 17TH ST SUITE 100 |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28401-6626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093703175 | Brian Charles Shiro | Pathology | 1915 S 17th St, Suite 100, Wilmington, NC 28401-6681 | 2005-10-12 |
| 1356777643 | Live Oak Ophthalmology, PC | Ophthalmology | 1915 S 17th St, Suite 101, Wilmington, NC 28401-6681 | 2013-09-19 |
| 1780864280 | Wilmington Pathology Laboratory Inc | Clinical Medical Laboratory | 1915 S 17th St, Suite 100, Wilmington, NC 28401-6683 | 2007-11-13 |
| 1356385843 | Wilmington Pathology Associates Pa | Pathology | 1915 S 17th St, Suite 100, Wilmington, NC 28401-6626 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275002461 | Thrivetothrive, LLC | Physical Therapist | 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 | 2018-11-16 |
| 1841787454 | Kevin Christopher Panebianco | Family Medicine | 1911 S 17th St Ste 130a, Wilmington, NC 28401 | 2018-04-18 |
| 1518472588 | Michelle Bruin | Family Medicine | 415 S. 2nd Street, Wilmington, NC 28401 | 2017-12-12 |
| 1639617343 | Anna Farwell | Behavior Technician | 3904 Oleander Dr. Suite 102, Wilmington, NC 28401 | 2017-02-02 |
| 1588034144 | Dimitri Zivko Pitovski | Allergy & Immunology | 1099 Medical Center Dr Unit 100b, Wilmington, NC 28401 | 2015-09-25 |
| 1629457007 | Megan Havel | Counselor | 1512 E Lakeshore Drive, Wilmington, NC 28401 | 2015-05-19 |
| 1154709251 | Lance Hutchens | Dentist | 1611 Doctors Cir, Wilmington, NC 28401 | 2015-05-11 |
| 1609281161 | Diane Pittman Whitford | Counselor | 313 Walnut St., Wilmington, NC 28401 | 2014-06-24 |
| 1942550728 | Bryan Cole Chalk | Nurse Anesthetist, Certified Registered | 2131 S 17th Street, Wilmington, NC 28401 | 2012-09-19 |
| 1740566546 | Valerie Baars | Pharmacist | 2302 S 17th Street, Wilmington, NC 28401 | 2011-10-25 |
| Find all providers in zip 28401 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063979615 | Safeguard Dx Laboratory, Inc. | Clinical Medical Laboratory | 110 S Poplar St Ste 200, Wilmington, DE 19801-5034 | 2019-03-01 |
| 1679920573 | Solstas Lab Partners Group LLC | Clinical Medical Laboratory | 1915 South 17th Street, Suite 100, Wilmington, NC 28401-6683 | 2016-05-20 |
| 1770943391 | The Launch Pad, Inc. | Clinical Medical Laboratory | 3150 Malpass Ave, Wilmington, NC 28403-2625 | 2016-02-24 |
| 1497724991 | Coastal Carolina Pathology, Pa | Clinical Medical Laboratory | 2606 Iron Gate Dr, Suite 201, Wilmington, NC 28412-2573 | 2006-03-16 |
| 1457336844 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 2505 Delaney Rd, Wilmington, NC 28403-6003 | 2005-12-08 |
| 1497203293 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1941 Limestone Rd, Suite 109, Wilmington, DE 19808-5408 | 2016-09-21 |
| 1336512615 | New Hanover Regional Medical Center | Clinical Medical Laboratory | 2131 S 17th St, Wilmington, NC 28401-7407 | 2015-11-09 |
| 1376958330 | Cape Fear Diagnostics, LLC | Clinical Medical Laboratory | 1501 Medical Center Dr, Wilmington, NC 28401-7506 | 2014-06-27 |
| 1780864280 | Wilmington Pathology Laboratory Inc | Clinical Medical Laboratory | 1915 S 17th St, Suite 100, Wilmington, NC 28401-6683 | 2007-11-13 |
| 1255476883 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1400 Philadelphia Pike, Suite 200, Wilmington, DE 19809-1856 | 2007-02-21 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28401 |
Please comment or provide details below to improve the information on NEXTWAVE DIAGNOSTIC LABORATORIES, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.