Active NPI
Neogenomics Laboratories Inc
- Clinical Medical Laboratory
- Durham, NC
National Provider Identifier
1669994802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 34D2113681
- Legal business name
- NEOGENOMICS LABORATORIES INC
- Practice address
- 5 Triangle Dr
Durham, NC 27713-2849 - Phone
- (866) 776-5907
- Fax
- (888) 443-4153
- NPI assigned
- Jul 10, 2017
- 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
- Abhishek Jain
- Title
- Chief Financial Officer
- Phone
- (866) 776-5907
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 34D2113681 | NC | Primary |
Addresses
Primary practice location
5 Triangle Dr
Durham, NC 27713-2849
Mailing address
PO Box 947365
Atlanta, GA 30394-7365
Phone (866) 776-5907
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34D2113681 | Other | CLIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190510000597 | NC | Part B Supplier - Independent Clinical Laboratory | 7315280567 | Practice locations: Durham, NC |
| O20250203000643 | NC | Part B Supplier - Independent Clinical Laboratory | 7113011172 | Practice locations: Durham, NC |
Other NPIs with the same Medicare PAC ID 10
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2113681 | Neogenomics Laboratories, Inc | Accreditation | Apr 2, 2027 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
5 Triangle Dr
Durham, NC 27713
8 Davis Dr
Ste 120
Durham, NC 27709
Phone (844) 464-8282
7020 Kit Creek Rd
Ste 140
Morrisville, NC 27560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499644800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772496000000",
"number": "1669994802",
"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": "5 TRIANGLE DR",
"city": "DURHAM",
"state": "NC",
"postal_code": "277132849",
"telephone_number": "866-776-5907",
"fax_number": "888-443-4153"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEOGENOMICS LABORATORIES INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-10",
"last_updated": "2026-03-03",
"certification_date": "2026-03-03",
"status": "A",
"authorized_official_last_name": "JAIN",
"authorized_official_first_name": "ABHISHEK",
"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": "NC",
"license": "34D2113681",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "34D2113681",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.