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Organization

NEOGENOMICS LABORATORIES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFREY S. SHERMAN (CHIEF FINANCIAL OFFICER)
(866) 776-5907
Entity
Organization

Contact information

Practice address
4570 EXECUTIVE DR STE 250, SAN DIEGO, CA 92121-3074
(866) 776-5907
(888) 443-4153
Mailing address
PO BOX 947365, ATLANTA, GA 30394-7365
(866) 776-5907
(888) 443-4153

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
05D2167801
CLIA
CA
01
CLF-00353852
CDPH CLINICAL AND PUBLIC HEALTH LABORATORY LICENSE
CA
Enumeration date
04/28/2023
Last updated
04/28/2023
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