Healthcare Provider Details

I. General information

NPI: 1851664916
Provider Name (Legal Business Name): NEOGENOMICS LABORATORIES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2012
Last Update Date: 01/06/2023
Certification Date: 01/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13005 N TELECOM PKWY STE 104
TEMPLE TERRACE FL
33637-0944
US

IV. Provider business mailing address

12701 COMMONWEALTH DR SUITE 9
FORT MYERS FL
33913-8626
US

V. Phone/Fax

Practice location:
  • Phone: 866-776-5907
  • Fax: 888-443-4153
Mailing address:
  • Phone: 866-776-5907
  • Fax: 239-768-0711

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number800026320
License Number StateFL

VIII. Authorized Official

Name: JEFFREY SCOTT SHERMAN
Title or Position: CFO
Credential:
Phone: 866-776-5907