Organization Active NPI

Genomic Expression Inc.

  • Clinical Medical Laboratory
  • Beverly, MA
National Provider Identifier
1104443688
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
GENOMIC EXPRESSION INC.
Practice address
100 Cummings Ctr Ste 451C
Beverly, MA 01915-6132
Phone
(646) 847-9290
NPI assigned
Jun 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

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

Authorized official

Name
Gitte Pedersen Pedersen, MSC
Title
Ceo
Phone
(917) 873-2003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

100 Cummings Ctr Ste 451C
Beverly, MA 01915-6132

Mailing address

100 Cummings Ctr Ste 451C
Beverly, MA 01915-6132
Phone (646) 847-9290

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2179488Genomic Expression100 Cummings Center Ste 451C, Beverly, MA 01915ComplianceJul 31, 2026

National Provider Directory

National Provider Directory

Locations

100 Cummings Ctr
Ste 451C
Beverly, MA 01915
Phone (646) 847-9290

NPI Registry JSON

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593475200000",
    "number": "1104443688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CUMMINGS CTR STE 451C",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156132",
            "telephone_number": "646-847-9290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CUMMINGS CTR STE 451C",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156132",
            "telephone_number": "646-847-9290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENOMIC EXPRESSION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-30",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A",
        "authorized_official_last_name": "PEDERSEN",
        "authorized_official_first_name": "GITTE",
        "authorized_official_middle_name": "PEDERSEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-873-2003",
        "authorized_official_credential": "MSC"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.