Biogenomics, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

34D2085246 Issued in NC

Legal business name

BIOGENOMICS, LLC

Practice address

502 McKnight Dr
Ste 200a
Knightdale, NC 27545-7050

Phone

(252) 388-8588

NPI assigned

Nov 6, 2014

Last updated

Sep 22, 2015By 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

Maqsood Ahmed, MD

Title

Managing Partner

Phone

(252) 702-0190

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442880000000",
    "number": "1275939985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 MCKNIGHT DR",
            "address_2": "STE 200",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275457050",
            "telephone_number": "919-295-5580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 MCKNIGHT DR",
            "address_2": "STE 200A",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275457050",
            "telephone_number": "252-388-8588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIOGENOMICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-06",
        "last_updated": "2015-09-22",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "MAQSOOD",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "252-702-0190",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NC",
            "license": "34D2085246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Better Communities, LLC
• Gabriel Bewley
• Naomi Bineli, MS, CCC-SLP
• Jessica Binion, PHARMD
• Bio-Medical Applications of North Carolina, Inc. (Fresenius Kidney Care Knightdale)
• Sarah Rebecca Black, MSW, LCSW
• Penelope S Bliss, MD
• Brian Boadwine, ATC
• Jane M Bomba, SLP-CF
• Diona Boone

• Clinical Medical Laboratory in Knightdale, NC
• Providers in Knightdale, NC by specialty
• Clinical Medical Laboratory in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2015; 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.