Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Neogenix Lake Norman, PC

Organization Medical Specialty Clinic/Center · NPI 1730903436

Neogenix Lake Norman, PC is a Medical Specialty Clinic/Center in Cornelius, North Carolina. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

19475 Old Jetton Rd Ste 102
Cornelius, NC 28031-6591
Phone: (704) 727-6551
Fax: (704) 669-8670
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Specialty Clinic/Center (primary) Taxonomy 261QM2500X

Record details

NPI number1730903436
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nikitas Miles — Director Of Operations · (704) 727-6551
NPI enumeratedNovember 11, 2024
Last updated in NPPESNovember 11, 2024
Certification dateNovember 11, 2024
Mailing address16147 Lancaster Hwy Ste 140, Charlotte, NC 28277-4782

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