MEDICARE: NEOGENOMICS LABORATORIES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory		FL
2	291U00000X	Clinical Medical Laboratory	800017185	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073549663
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEOGENOMICS LABORATORIES INC

Provider Business Mailing Address
First Line	:	PO BOX 864110
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32886-4110
Country	:	US
Telephone Number	:	239-768-0600
Fax Number	:	239-690-4236

Provider Business Practice Location Address
First Line	:	900 OCEAN DR APT 504
Second Line	:
City	:	JUNO BEACH
State	:	FL
Zip	:	33408-1723
Country	:	US
Telephone Number	:	866-776-5907
Fax Number	:	888-443-4513

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER
Name	:	ABHISHEK JAIN
Credential	:
Telephone Number	:	866-776-5907

Provider Enumeration Date	:	06/24/2006
Last Update Date	:	03/03/2026

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