Healthcare Provider Details

I. General information

NPI: 1003245317
Provider Name (Legal Business Name): NEOGENOMICS LABORATORIES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2013
Last Update Date: 01/23/2023
Certification Date: 01/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7256 S SAM HOUSTON PKWY W STE 300
HOUSTON TX
77085
US

IV. Provider business mailing address

PO BOX 947365
ATLANTA GA
30394-7365
US

V. Phone/Fax

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

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