NEOGENIX LAKE NORMAN, PC
NPI 1730903436
Clinic/Center - Medical Specialty in Cornelius, NC

Q: What is Neogenix Lake Norman, PC's NPI number?

The NPI number for Neogenix Lake Norman, PC is 1730903436. It was assigned to this organization in the NPPES registry on November 11, 2024.

Q: What is Neogenix Lake Norman, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Active since November 11, 2024

19475 OLD JETTON RD STE 102, CORNELIUS, NC 28031(704) 727-6551(704) 669-8670 Get Directions Write a Review

NPPES record last updated: November 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Neogenix Lake Norman, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NEOGENIX LAKE NORMAN, PC (NPI 1730903436) is a healthcare organization registered as a medical specialty in Cornelius, North Carolina and active in the NPI registry since November 2024. The organization lists Nikitas William Miles, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1730903436

Entity TypeOrganization

Primary Taxonomy261QM2500X

Legal Business NameNEOGENIX LAKE NORMAN, PC

Location Address19475 OLD JETTON RD STE 102Cornelius, NC 28031-6591

Mailing Address16147 Lancaster Hwy Ste 140Charlotte, NC 28277-4782 · (704) 727-6551

Phone(704) 727-6551

Fax(704) 669-8670

Organization SubpartNo

Authorized OfficialNikitas William MilesDirector Of Operations · (704) 727-6551

Enumeration DateNovember 11, 2024

NPPES CertifiedNovember 11, 2024

✔ NPI 1730903436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM2500X

Definition

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).

19475 OLD JETTON RD STE 102, Cornelius, NC 28031

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Neogenix Lake Norman, PC's NPI number?

The NPI number for Neogenix Lake Norman, PC is 1730903436. It was assigned to this organization in the NPPES registry on November 11, 2024.

Where is Neogenix Lake Norman, PC located?

Neogenix Lake Norman, PC is located at 19475 Old Jetton Rd Ste 102, Cornelius, NC 28031. The listed phone number is (704) 727-6551.

What is Neogenix Lake Norman, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Neogenix Lake Norman, PC was last updated on November 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.