Organization
NEOGENOMICS LABORATORIES INC
Active
Organization
NEOGENOMICS LABORATORIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY SCOTT SHERMAN (CFO)
(866) 776-5907
Entity
Organization
Contact information
Practice address
15527 CARDAMON WAY, TUSTIN, CA 92782-1911
(866) 776-5907
(888) 443-4153
Mailing address
31 COLUMBIA, ALISO VIEJO, CA 92656-1460
(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
—
05D2183172
CLIA
CA
01
—
CLF90000729
CLINICAL AND PUBLIC HEALTH LABORATORY LICENSE
CA
Enumeration date
06/04/2020
Last updated
01/06/2023
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