Active NPI
Invitae Corporation
- Clinical Medical Laboratory
- Iselin, NJ
National Provider Identifier
1285217398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- INVITAE CORPORATION
- Practice address
- 485F US Highway 1 Ste 110
Iselin, NJ 08830-3055 - Phone
- (800) 436-3037
- Fax
- (415) 276-4127
- NPI assigned
- May 5, 2021
- 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
- Kim Thibodeau
- Title
- VP of Revenue
- Phone
- (800) 436-3037
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
485F US Highway 1 Ste 110
Iselin, NJ 08830-3055
Mailing address
1400 16TH St
San Francisco, CA 94103-5110
Phone (800) 436-3037
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31D2142534 | Other | NJ | CLIA |
Other names 1
- Invitae Corporation
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210712000025 | NJ | Part B Supplier - Independent Clinical Laboratory | 8022238641 | Practice locations: Iselin, NJ |
National Provider Directory
National Provider Directory- Tax ID family
- Good Start Genetics Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Medical Laboratory
- Morrisville, NC
- NPI 1215216759
Locations
5 Technology Dr
Irvine, CA 92618
Phone (800) 436-3037
310 Goddard
Ste 150
Irvine, CA 92618
Phone (510) 479-7273
458 Brannan St
San Francisco, CA 94107
Phone (415) 374-7782
15000 W 6th Ave
Ste 150
Golden, CO 80401
Phone (303) 865-3891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620172800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695254400000",
"number": "1285217398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 16TH ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941035110",
"telephone_number": "800-436-3037",
"fax_number": "415-276-4164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "485F US HIGHWAY 1 STE 110",
"city": "ISELIN",
"state": "NJ",
"postal_code": "088303055",
"telephone_number": "800-436-3037",
"fax_number": "415-276-4127"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INVITAE CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-05",
"last_updated": "2023-09-21",
"certification_date": "2023-09-21",
"status": "A",
"authorized_official_last_name": "THIBODEAU",
"authorized_official_first_name": "KIM",
"authorized_official_title_or_position": "VP OF REVENUE",
"authorized_official_telephone_number": "800-436-3037"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "31D2142534",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Invitae Corporation",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Iselin, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.