Blueprint Genetics Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

BLUEPRINT GENETICS INC.

Practice address

200 Forest St
Marlborough, MA 01752

Phone

(508) 756-2886

Fax

(508) 753-5601

NPI assigned

May 24, 2006

Organization subpart

Yes

Parent organization

QUEST DIAGNOSTICSAs reported in NPPES

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

Authorized official

Name

Leah D Timmerman

Title

Sr. Vice President

Phone

(973) 520-2700

Specialties & licenses 1

Addresses

Other names 1

• Athena Diagnostics Doing business as

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Part of

Questdiagnost Ic Inc

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Quest Diagnostics Incorporated

  • Clinical Medical Laboratory
  • Albany, NY
  • NPI 1265202147

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754265600000",
    "number": "1023063062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14275 MIDWAY RD STE 400",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013661",
            "fax_number": "102-714-2456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 FOREST ST",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "01752",
            "telephone_number": "508-756-2886",
            "fax_number": "508-753-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEPRINT GENETICS INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "QUEST DIAGNOSTICS",
        "enumeration_date": "2006-05-24",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A",
        "authorized_official_last_name": "TIMMERMAN",
        "authorized_official_first_name": "LEAH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "SR. VICE PRESIDENT",
        "authorized_official_telephone_number": "973-520-2700"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Athena Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura Beth Blanchette
• Lisa M Blazejewski, MS,CGC
• Monique Blocker
• Robert Ethan Bloom, MSW
• Blooming Belly Doula
• Benedicta Boakye
• Kwasi Karikari Boateng
• Jacilyn Boddy
• McHelle Bodin-Hettinger, LICSW
• Body Dynamics Nutrition

• Clinical Medical Laboratory in Marlborough, MA
• Providers in Marlborough, MA by specialty
• Clinical Medical Laboratory in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.