Genomic Express, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLF00340403 Issued in CA

Legal business name

GENOMIC EXPRESS, INC.

Practice address

725 Lakefield Rd
Suite H
Westlake Village, CA 91361-2615

Phone

(805) 495-7515

Fax

(805) 495-1866

NPI assigned

Nov 18, 2011

Last updated

Nov 18, 2011By 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

Dr. Grant A Bitter, PH.D.

Title

President/Ceo

Phone

(805) 495-7515

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1321574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321574400000",
    "number": "1124395165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 LAKEFIELD RD",
            "address_2": "SUITE H",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913612615",
            "telephone_number": "805-495-7515",
            "fax_number": "805-495-1866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 LAKEFIELD RD",
            "address_2": "SUITE H",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913612615",
            "telephone_number": "805-495-7515",
            "fax_number": "805-495-1866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENOMIC EXPRESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-18",
        "last_updated": "2011-11-18",
        "status": "A",
        "authorized_official_last_name": "BITTER",
        "authorized_official_first_name": "GRANT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "805-495-7515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF00340403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.