Organization · Type 2 NPI

Neogenix Lake Norman, PC

Medical Specialty Clinic/Center · Cornelius, NC

NPI number 1730903436 Active

Practice location

19475 Old Jetton Rd Ste 102
Cornelius, NC 28031-6591

Fax (704) 669-8670

Mailing address

16147 Lancaster Hwy Ste 140
Charlotte, NC 28277-4782

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500XNone listed

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

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About NPI 1730903436

Neogenix Lake Norman, PC's National Provider Identifier is 1730903436, issued on Nov 11, 2024. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Cornelius, NC. The record was last updated on Nov 11, 2024.