Active NPI
Genomic Health, Inc.
- Clinical Medical Laboratory
- Redwood City, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- GENOMIC HEALTH, INC.
- Practice address
- 301 Penobscot Drive
Billing and Reimbursement Ops.
Redwood City, CA 94063-4700 - Phone
- (866) 662-6897
- Fax
- (866) 383-1932
- NPI assigned
- Nov 28, 2006
- Last updated
- Jul 30, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephen Tlachac
- Title
- Divisional VP and Controller
- Phone
- (608) 284-5700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
301 Penobscot Drive
Billing and Reimbursement Ops.
Redwood City, CA 94063-4700
Mailing address
PO Box 735265
Chicago, IL 60673-5265
Phone (866) 662-6897
Other practice location 1
445 N 5th St Ste 100300
Phoenix, AZ 85004-2157
Phone (866) 662-6897
Other practice location 2
650 Forward Dr.
Madison, WI 53711-2441
Phone (608) 284-5700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LAB18272F | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, AZ, WI
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040505001256 | CA | Part B Supplier - Independent Clinical Laboratory | 4486642501 | Practice locations: Redwood City, CA |
| O20210622003043 | AZ | Part B Supplier - Independent Clinical Laboratory | 4486642501 | Practice locations: Phoenix, AZ |
| O20260612000614 | WI | Part B Supplier - Independent Clinical Laboratory | 4486642501 | Practice locations: Madison, WI |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1018272 | Genomic Health Inc | Accreditation | Jun 29, 2027 |
| 52D2335211 | Genomic Health, Inc | Registration | Dec 7, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Genomic Health Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Medical Laboratory
- Phoenix, AZ
- NPI 1275913642
Member organizations 5
Organizations listed as members of this organization in the National Provider Directory.
-
dba MDxHealth Central
- Clinical Medical Laboratory
- Plano, TX
- NPI 1851966105
Member Of
Locations
445 N 5th St
Fl 1
Phoenix, AZ 85004
Phone (866) 662-6897
445 N 5th St
Ste 100
Phoenix, AZ 85004
Phone (602) 343-8641
445 N 5th St
Ste 100300
Phoenix, AZ 85004
Phone (866) 662-6897
445 N 5th St
Ste 300
Phoenix, AZ 85004
Phone (602) 441-2000
301 Penobscot Dr
Redwood City, CA 94063
Phone (650) 569-2251
701 Galveston Dr
Redwood City, CA 94063
Phone (866) 662-6897
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Medical Laboratory
- Redwood City, CA
- NPI 1205239704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785369600000",
"number": "1215003603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 735265",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606735265",
"telephone_number": "866-662-6897",
"fax_number": "866-383-1932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 PENOBSCOT DRIVE",
"address_2": "BILLING AND REIMBURSEMENT OPS.",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940634700",
"telephone_number": "866-662-6897",
"fax_number": "866-383-1932"
}
],
"practiceLocations": [
{
"address_1": "445 N 5th St Ste 100300",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850042157",
"country_code": "US",
"telephone_number": "866-662-6897",
"fax_number": "866-383-1932",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "650 Forward Dr.",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "WI",
"postal_code": "537112441",
"country_code": "US",
"telephone_number": "608-284-5700",
"fax_number": "608-535-8715",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "GENOMIC HEALTH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-28",
"last_updated": "2026-07-30",
"certification_date": "2026-07-30",
"status": "A",
"authorized_official_last_name": "TLACHAC",
"authorized_official_first_name": "STEPHEN",
"authorized_official_title_or_position": "DIVISIONAL VP AND CONTROLLER",
"authorized_official_telephone_number": "608-284-5700"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "LAB18272F",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Redwood City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; 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.