Healthcare Provider Details

I. General information

NPI: 1073549663
Provider Name (Legal Business Name): NEOGENOMICS LABORATORIES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2006
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

471 NEPTUNE RD
JUNO BEACH FL
33408-2016
US

IV. Provider business mailing address

PO BOX 946110
ATLANTA GA
30394-6110
US

V. Phone/Fax

Practice location:
  • Phone: 866-776-5907
  • Fax: 888-443-4153
Mailing address:
  • Phone: 866-776-5907
  • Fax: 888-443-4153

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number800017185
License Number StateFL

VIII. Authorized Official

Name: ABHISHEK JAIN
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 866-776-5907