Neogenomics Laboratories Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

NEOGENOMICS LABORATORIES INC

Practice address

252 Glasgow St
Henderson, NV 89015-5623

Phone

(866) 776-5907

Fax

(888) 443-4153

NPI assigned

Nov 10, 2020

Last updated

Nov 10, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kathryn Bisogno McKenzie

Title

Cfo

Phone

(239) 768-0600

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604966400000",
    "number": "1427650829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 COLUMBIA",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926561460",
            "telephone_number": "866-776-5907",
            "fax_number": "888-443-4153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 GLASGOW ST",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890155623",
            "telephone_number": "866-776-5907",
            "fax_number": "888-443-4153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEOGENOMICS LABORATORIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-10",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "BISOGNO",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "239-768-0600"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "29D2193595",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judith A Nelson, PSY.D.
• Kevin Wayne Nelson
• Lisa A Nelson
• Stacy Lynn Nelson
• Erica Nemetz, DPT
• Nephrology Center of Nevada PLLC
• Justin M Neri
• Priscilla Nery
• Leila Nett
• Ashley Marie Nettles

• Clinical Medical Laboratory in Henderson, NV
• Providers in Henderson, NV by specialty
• Clinical Medical Laboratory in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.