Organization Active NPI

Genomic Health, Inc.

  • Clinical Medical Laboratory
  • Redwood City, CA
National Provider Identifier
1215003603
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
LAB18272FMedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ, WI3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
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 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
05D1018272Genomic Health Inc301 Penobscot Dr, Redwood City, CA 94063AccreditationJun 29, 2027
52D2335211Genomic Health, Inc650 Forward Drive, Madison, WI 53711RegistrationDec 7, 2027

National Provider Directory

National Provider Directory
Tax ID family
Genomic Health Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 5

Organizations listed as members of this organization in the National Provider Directory.

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.

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.

Verify at the official NPI Registry.