Healthcare Provider Details

I. General information

NPI: 1225226855
Provider Name (Legal Business Name): NEOGENOMICS LABORATORIES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2007
Last Update Date: 01/06/2023
Certification Date: 01/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

618 GRASSMERE PARK UNIT 20
NASHVILLE TN
37211
US

IV. Provider business mailing address

PO BOX 865365
ORLANDO FL
32886-4110
US

V. Phone/Fax

Practice location:
  • Phone: 615-315-5700
  • Fax: 615-574-6094
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 Number0000004061
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: JEFFREY SCOTT SHERMAN
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 866-776-5907