Organization
NEOGENOMICS LABORATORIES INC
Active
Parent organization
NEOGENOMICS LABORATORIES INC
Other names
Clarient Diagnostic Services, Inc
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEOGENOMICS LABORATORIES INC
Authorized official
KATHRYN B MCKENZIE (VP & PRINCIPAL ACCOUNTING OFFICER)
(866) 776-5907
Entity
Organization
Contact information
Practice address
6455 MISSION, WEST BLOOMFIELD, MI 48324
(866) 766-5907
(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
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23D2013964
CLIA
MI
01
—
23D2013964
MEDICARE CLIA
—
Enumeration date
01/06/2012
Last updated
08/30/2019
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