Genomicmd, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

GENOMICMD, INC.

Doing business as

GenomicMD, Inc.

Practice address

20 N Wacker Dr FL 12
Chicago, IL 60606-2806

Phone

(877) 760-4463

Fax

(888) 428-1106

NPI assigned

Jun 18, 2024

Last updated

Apr 25, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jason Lobel

Title

Ceo

Phone

(877) 760-4463

Specialties & licenses 1

Addresses

Other names 1

• GenomicMD, Inc. Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

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

CLIA laboratory certificates

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

{
    "created_epoch": "1718668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745539200000",
    "number": "1013750710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 N WACKER DR FL 12",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606062806",
            "telephone_number": "877-760-4463",
            "fax_number": "888-428-1106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 N WACKER DR FL 12",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606062806",
            "telephone_number": "877-760-4463",
            "fax_number": "888-428-1106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENOMICMD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-18",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A",
        "authorized_official_last_name": "LOBEL",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "877-760-4463",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GenomicMD, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GenomicMD, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Jenna Genre, CNM

• Clinical Medical Laboratory in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Medical Laboratory in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; 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.