Active NPI
Neogenomics Laboratories Inc
- Clinical Medical Laboratory
- Houston, TX
National Provider Identifier
1619618246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- NEOGENOMICS LABORATORIES INC
- Practice address
- 1323 Prospect St
Houston, TX 77004-6818 - Phone
- (866) 776-5907
- Fax
- (888) 443-4153
- NPI assigned
- Apr 6, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey Scott Sherman
- Title
- Chief Financial Officer
- Phone
- (866) 776-5907
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
1323 Prospect St
Houston, TX 77004-6818
Mailing address
PO Box 947365
Atlanta, GA 30394-7365
Phone (866) 776-5907
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170925001436 | TX | Part B Supplier - Independent Clinical Laboratory | 7113011172 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Houston, TX |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649203200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1672963200000",
"number": "1619618246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 947365",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303947365",
"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": "1323 PROSPECT ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770046818",
"telephone_number": "866-776-5907",
"fax_number": "888-443-4153"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEOGENOMICS LABORATORIES INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-06",
"last_updated": "2023-01-06",
"certification_date": "2023-01-06",
"status": "A",
"authorized_official_last_name": "SHERMAN",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "SCOTT",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "866-776-5907"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.