Healthcare Provider Details

I. General information

NPI: 1447162185
Provider Name (Legal Business Name): NEOGENE SCIENCES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9627 S DIXIE HWY STE 100
PINECREST FL
33156-2804
US

IV. Provider business mailing address

9627 S DIXIE HWY STE 100
PINECREST FL
33156-2804
US

V. Phone/Fax

Practice location:
  • Phone: 786-340-5576
  • Fax: 305-768-0886
Mailing address:
  • Phone: 786-340-5576
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: RUZANNA MKHITARIAN
Title or Position: OWNER
Credential:
Phone: 786-340-5576