Neogenomics Laboratories Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

NEOGENOMICS LABORATORIES INC

Practice address

6455 Mission
West Bloomfield, MI 48324

Phone

(866) 766-5907

Fax

(888) 443-4153

NPI assigned

Jan 6, 2012

Organization subpart

Yes

Parent organization

NEOGENOMICS LABORATORIES INCAs reported in NPPES

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

Authorized official

Name

Kathryn B McKenzie

Title

VP & Principal Accounting Officer

Phone

(866) 776-5907

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Clarient Diagnostic Services, Inc Other name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Neogenomics Laboratories Inc

  • Clinical Medical Laboratory
  • Troy, MI
  • NPI 1346949922

  O20180122002747

  Same enrollment

Part of

Neogenomics Laboratories

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Neogenomics Laboratories Inc

  • Clinical Medical Laboratory
  • Scottsdale, AZ
  • NPI 1659039287

  Member Of

  NPD member

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Neogenomics Laboratories Inc

  • Clinical Medical Laboratory
  • Troy, MI
  • NPI 1346949922
  NPPES parent name

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

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567123200000",
    "number": "1659641645",
    "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": "6455 MISSION",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "48324",
            "telephone_number": "866-766-5907",
            "fax_number": "888-443-4153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEOGENOMICS LABORATORIES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEOGENOMICS LABORATORIES INC",
        "enumeration_date": "2012-01-06",
        "last_updated": "2019-08-30",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "VP & PRINCIPAL ACCOUNTING OFFICER",
        "authorized_official_telephone_number": "866-776-5907"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE CLIA",
            "identifier": "23D2013964",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "23D2013964",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clarient Diagnostic Services, Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Neil F Hertzberg DPM
• Rachel Nelson, NP
• Shannon Joan Nelson, MA, CCC-SLP
• Anne Marie Nemes, C.N.P.
• Nenad Serafimovski MD Heart & Vascular Specialty PLLC
• Shelley A Nepa, D.O.
• Veronica Nesby
• Nancy J Nester, LPC
• Aimee Marie Neubecker, M.S., AT, ATC
• Samantha Neugebauer, LMSW

• Clinical Medical Laboratory in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Clinical Medical Laboratory in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; 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.

Verify at the official NPI Registry.