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NPI Code Detail

MEDICARE: NEOGENOMICS LABORATORIES INC

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
1291U00000XClinical Medical Laboratory

General Provider Information

NPI Number : 1710716428
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 : 13681 DOCTORS WAY
Second Line :
City : FORT MYERS
State : FL
Zip : 33912-4300
Country : US
Telephone Number : 866-776-5907
Fax Number : 888-443-4153
Authorized Official
Title or Position : CFO
Name : ABHISHEK JAIN
Credential :
Telephone Number : 866-776-5907
Provider Enumeration Date : 07/31/2024
Last Update Date : 03/03/2026

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Directions to “NEOGENOMICS LABORATORIES INC ” Practice Location

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