NPIMap

Organization Active NPI

Neogenomics Laboratories Inc

  • Clinical Medical Laboratory
  • Temple Terrace, FL
National Provider Identifier
1851664916
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
800026320 Issued in FL
Legal business name
NEOGENOMICS LABORATORIES INC
Practice address
13005 N Telecom Pkwy Ste 104
Temple Terrace, FL 33637-0944
Phone
(866) 776-5907
Fax
(888) 443-4153
NPI assigned
Feb 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Authorized official

Name
Abhishek Jain
Title
Cfo
Phone
(866) 776-5907

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 800026320 FL Primary
Clinical Medical Laboratory 291U00000X

Addresses

Primary practice location

13005 N Telecom Pkwy Ste 104
Temple Terrace, FL 33637-0944

Mailing address

12701 Commonwealth Dr
Suite 9
Fort Myers, FL 33913-8626
Phone (866) 776-5907

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080507000146 FL Part B Supplier - Independent Clinical Laboratory 7113011172 11 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Fort Myers, FL; Juno Beach, FL; Temple Terrace, FL

Other NPIs on the same Medicare enrollment 11

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2031805Neogenomics Laboratories Inc13005 North Telecom Parkway Suite 104, Temple Terrace, FL 33637ComplianceJan 2, 2028

National Provider Directory

National Provider Directory
Tax ID family
Neogenomics Laboratories Inc17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Locations

10002 Princess Palm Ave
Ste 228
Tampa, FL 33619

13005 N Telecom Pkwy
Ste 104
Temple Terrace, FL 33637

NPI Registry JSON

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

{
    "created_epoch": "1329696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772496000000",
    "number": "1851664916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12701 COMMONWEALTH DR",
            "address_2": "SUITE 9",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339138626",
            "telephone_number": "866-776-5907",
            "fax_number": "239-768-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13005 N TELECOM PKWY STE 104",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336370944",
            "telephone_number": "866-776-5907",
            "fax_number": "888-443-4153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEOGENOMICS LABORATORIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-20",
        "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": "CFO",
        "authorized_official_telephone_number": "866-776-5907"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "800026320",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple Terrace, FL

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.

Verify at the official NPI Registry.