NEOGENOMICS LABORATORIES INC (NPI# 1659641645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659641645 |
| Entity Type | Organization |
| Organization Name | NEOGENOMICS LABORATORIES INC |
| Other Organization Name | CLARIENT DIAGNOSTIC SERVICES, INC |
| Practice Address |
6455 Mission West Bloomfield MI 48324 |
| Mailing Address |
31 Columbia Aliso Viejo CA 92656-1460 |
| Practice Telephone | 8667665907 |
| Practice Fax Number | 8884434153 |
| Mailing Telephone | 8667765907 |
| Mailing Fax Number | 8884434153 |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2019-08-30 |
| Authorized Official Name | KATHRYN B MCKENZIE (VP & PRINCIPAL ACCOUNTING OFFICER) |
| Authorized Official Telephone | 8667765907 |
| Is Organization Subpart | Y |
| Parent Organization Name | NEOGENOMICS LABORATORIES INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
Allopathic & Osteopathic Physicians | ||
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE CLIA | 23D2013964 | 01 | |
| MI | CLIA | 23D2013964 | 01 |
| Other Name | Type Code |
|---|---|
| Clarient Diagnostic Services, Inc | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639793615 | Neogenomics Laboratories Inc | Military Clinical Medical Laboratory | 15527 Cardamon Way, Tustin, CA 92782-1911 | 2020-06-04 |
| 1386268365 | Neogenomics Laboratories Inc | Clinical Medical Laboratory | 448 W Highland Ave, Sierra Madre, CA 91024-1710 | 2020-06-04 |
| 1437642717 | Neogenomics Laboratories Inc | Clinical Medical Laboratory | 29 Upper Riverdale Rd Sw Ste 140, Riverdale, GA 30274-2616 | 2018-06-11 |
| 1346645512 | Neogenomics Laboratories Inc | Specialist | 840 Cameron Dr, Pasadena, CA 91106 | 2014-10-29 |
| 1699176768 | Neogenomics Laboratories Inc | Clinical Medical Laboratory | 1 Jenner, Suite 180, Irvine, CA 92618 | 2014-09-09 |
| 1003245317 | Neogenomics Laboratories Inc | Clinical Medical Laboratory | 7256 S Sam Houston Pkwy W Ste 300, Houston, TX 77085 | 2013-11-06 |
| 1851664916 | Neogenomics Laboratories Inc | Clinical Medical Laboratory | 13005 N Telecom Pkwy Ste 104, Temple Terrace, FL 33637-0944 | 2012-02-20 |
| 1710127279 | Neogenomics Laboratories Inc | Clinical Medical Laboratory | 9548 Topanga Canyon Blvd, Chatsworth, CA 91311-4011 | 2009-02-24 |
| 1154792695 | Neogenomics Laboratories Inc | Clinical Medical Laboratory | 2110 Rutherford Rd, Carlsbad, CA 92008-7328 | 2015-10-09 |
| 1912307547 | Neogenomics Laboratories Inc | Clinical Medical Laboratory | 30 E River Park Pl W, Suite 400, Fresno, CA 93720 | 2014-09-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | NeoGenomics Laboratories Inc. | 12701 Commonwealth Dr Ste 9, Fort Myers, Florida 33913 |
| Street Address |
6455 MISSION |
| City | WEST BLOOMFIELD |
| State | MI |
| Zip Code | 48324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902325293 | Sparr Nutrition Services LLC | Dietitian, Registered | 1957 Midchester Drive, Westbloomfield, MI 48324 | 2017-09-18 |
| 1700308632 | Jennifer Dulchavsky | Counselor | 3538 Winterberry, West Bloomfield, MI 48324 | 2017-07-12 |
| 1538495551 | Joseph S. Dulka | Psychiatry & Neurology | 3573 Elder Rd S., West Bloomfield, MI 48324 | 2009-10-27 |
| 1700041928 | Allan Jay Levine | Pathology | 2268 Forest Glen Dr, West Bloomfield, MI 48324 | 2008-07-28 |
| 1952561706 | Deepika Aggarwal | Dentist | 6259 Willow Ct, West Bloomfield, MI 48324 | 2008-06-16 |
| 1366627358 | Tatyana Kuzminsky | Nutritionist | 2486 Island View Dr, West Bloomfield, MI 48324 | 2008-01-08 |
| 1053407742 | Katherine Ann Young | Psychologist | 1943 Windside, West Bloomfield, MI 48324 | 2006-10-04 |
| 1629072038 | Alfonso Acosta | Family Medicine | 7173 Ilanaway Dr, West Bloomfield, MI 48324 | 2005-06-13 |
| 1942441142 | Patricia L Denham | Social Worker | 1916 Henbert Rd, West Bloomfield, MI 48324-1036 | 2009-03-18 |
| 1972547826 | Howard Rosenberg | Chiropractor | 2081 Hiller Rd, West Bloomfield, MI 48324-1136 | 2006-06-15 |
| Find all providers in zip 48324 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255577896 | Kare Diagnostic | Clinical Medical Laboratory | 5034 Village Commons Dr, West Bloomfield, MI 48322-3380 | 2009-01-04 |
| 1932507969 | Orchard Laboratories Corp | Clinical Medical Laboratory | 7091 Orchard Lake Rd, Suite 100, West Bloomfield, MI 48322-3654 | 2014-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033726633 | Shores Diagnostic LLC | Clinical Medical Laboratory | 3611 Carpenter St Ste 6, Hamtramck, MI 48212-2784 | 2020-09-28 |
| 1952918831 | United Medical Laboratory LLC | Clinical Medical Laboratory | 30675 Stephenson Hwy, Suite B, Madison Heights, MI 48071 | 2020-09-25 |
| 1407466253 | Van Laan Industries Inc. | Clinical Medical Laboratory | 3414 Lovers Ln Ste A, Kalamazoo, MI 49001-4806 | 2020-08-06 |
| 1164049524 | Rapid Biosense LLC | Clinical Medical Laboratory | 46701 Commerce Center Dr, Plymouth, MI 48170-2475 | 2020-07-01 |
| 1023631595 | Catalyst Diagnostic LLC | Clinical Medical Laboratory | 4942 Dawn Ave Ste 210, East Lansing, MI 48823-5606 | 2020-05-19 |
| 1467073460 | Lynx Dx Inc | Clinical Medical Laboratory | 333 Jackson Plz Ste 600, Ann Arbor, MI 48103-1922 | 2020-04-30 |
| 1184245219 | Olive Labs, Inc. | Clinical Medical Laboratory | 150 Livernois St, Ferndale, MI 48220-2302 | 2020-04-29 |
| 1720617947 | Covenant Pathology Associates, PC | Clinical Medical Laboratory | 4707 Mcleod Dr E, Saginaw, MI 48604-2853 | 2020-04-08 |
| 1134757339 | Vibra of Southeastern Michigan, LLC | Clinical Medical Laboratory | 1307-a Allen Drive, Troy, MI 48083-4010 | 2020-04-01 |
| 1972137560 | Functional Fluidics LLC | Clinical Medical Laboratory | 440 Burroughs St Ste 641, Detroit, MI 48202-3474 | 2020-02-24 |
| Find all providers with the same taxonomy | ||||
| City | WEST BLOOMFIELD |
| Zip Code | 48324 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.