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General NPI Number Information
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NPI Number | 1912307547
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Entity Type | Organization
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Legal Business Name | NEOGENOMICS LABORATORIES INC
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Dates
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Enumeration Date | 09/02/2014
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Last Update Date | 01/23/2023
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Provider Practice Location Address
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Address Line | 5 RIVER PARK PLACE EAST STE 102
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City | FRESNO
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State | CA
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Zip | 93720
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Country | US
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Telephone | 866-776-5907
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Fax | 888-443-4153
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Provider Business Mailing Address
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Address Line | 12701 COMMONWEALTH DR SUITE 9
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City | FORT MYERS
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State | FL
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Zip | 33913-8626
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Country | US
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Telephone | 866-776-5907
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Fax | 239-768-0711
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Authorized Official
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Title or Position | CFO
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Name | JEFFREY SCOTT SHERMAN
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Credential |
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Telephone | 866-776-5907
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 00346503
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License Number State | CA
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