NPIMap

Organization Active NPI

Genomic Health Inc.

  • Clinical Medical Laboratory
  • Phoenix, AZ
National Provider Identifier
1275913642
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
03D2048606 Issued in AZ
Legal business name
GENOMIC HEALTH INC.
Practice address
445 N 5TH St
Phoenix, AZ 85004-2157
Phone
(844) 539-3309
Fax
(602) 343-8440
NPI assigned
Jun 1, 2015
Organization subpart
Yes
Parent organization
GENOMIC HEALTH INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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

Authorized official

Name
Kyle Stacey
Title
Treasurer
Phone
(608) 284-5700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 03D2048606 AZ Primary

Addresses

Primary practice location

445 N 5TH St
Phoenix, AZ 85004-2157

Mailing address

PO Box 742415
Los Angeles, CA 90074-2415
Phone (866) 662-6897

Other identifiers 1

IdentifierTypeStateIssuer
002671MedicaidAZ

Other names 1

  • Ashion Other name

National Provider Directory

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

Other organizations with this tax ID 1

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

Locations

445 N 5th St
Phoenix, AZ 85004
Phone (602) 687-8193

445 N 5th St
Ste 100
Phoenix, AZ 85004
Phone (602) 343-8641

NPI Registry JSON

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681171200000",
    "number": "1275913642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742415",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900742415",
            "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": "445 N 5TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850042157",
            "telephone_number": "844-539-3309",
            "fax_number": "602-343-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENOMIC HEALTH INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GENOMIC HEALTH INC.",
        "enumeration_date": "2015-06-01",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A",
        "authorized_official_last_name": "STACEY",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "608-284-5700"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "AZ",
            "license": "03D2048606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002671",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ashion",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Ashion",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; 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.