Provider Demographics
NPI:1780571893
Name:NEXTWAVE SCREENING SOLUTIONS LLC
Entity type:Organization
Organization Name:NEXTWAVE SCREENING SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JENITA
Authorized Official - Middle Name:L
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-307-4216
Mailing Address - Street 1:45183 CHALET DR
Mailing Address - Street 2:
Mailing Address - City:BAY MINETTE
Mailing Address - State:AL
Mailing Address - Zip Code:36507-8703
Mailing Address - Country:US
Mailing Address - Phone:251-307-4216
Mailing Address - Fax:251-697-9069
Practice Address - Street 1:750 DOWNTOWNER LOOP W STE H148
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36609-5528
Practice Address - Country:US
Practice Address - Phone:251-697-9069
Practice Address - Fax:251-697-9069
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-20
Last Update Date:2025-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory