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
51 COLUMBIA, ALISO VIEJO, CA 92656-1456
(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
—
05D2261415
CLIA
—
01
—
CLF-90006879
CALIFORNIA STATE DEPARTMENT OF HEALTH LICENSE
CA
Enumeration date
08/08/2022
Last updated
01/06/2023
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