MEDICARE: NEOGENOMICS LABORATORIES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1477376382
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEOGENOMICS LABORATORIES INC

Provider Business Mailing Address
First Line	:	PO BOX 947365
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30394-7365
Country	:	US
Telephone Number	:	866-776-5907
Fax Number	:	888-443-4153

Provider Business Practice Location Address
First Line	:	8970 COLONIAL CENTER DR
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33905-7815
Country	:	US
Telephone Number	:	866-776-5907
Fax Number	:	888-443-4153

Authorized Official
Title or Position	:	CFO
Name	:	JEFFREY S SHERMAN
Credential	:
Telephone Number	:	866-776-5907

Provider Enumeration Date	:	11/07/2024
Last Update Date	:	11/07/2024

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