Organization
NEOGENOMICS LABORATORIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM BONELLO (CFO)
(866) 776-5907
Entity
Organization
Contact information
Practice address
3435 S RICHARDSON DR, TUCSON, AZ 85735-1520
(866) 776-5907
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
—
03D2243853
CLIA
—
Enumeration date
11/02/2022
Last updated
11/10/2022
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