Lineagen, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

LINEAGEN, INC.

Practice address

6777 Nancy Ridge Dr
San Diego, CA 92121-2231

Phone

(858) 888-7600

Fax

(858) 888-7601

NPI assigned

Oct 13, 2023

Organization subpart

No

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

Authorized official

Name

Robert Erik Holmlin

Title

Chief Executive Officer

Phone

(858) 349-4995

Specialties & licenses 1

Addresses

Other names 1

• Bionano Laboratories Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elise Garza Austin, M.S.

  • Genetic Counselor (M.S.)
  • Salt Lake City, UT
  • NPI 1629476775
  NPD (past)

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

{
    "created_epoch": "1697155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697155200000",
    "number": "1356123418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6777 NANCY RIDGE DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212231",
            "telephone_number": "801-931-6200",
            "fax_number": "801-931-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6777 NANCY RIDGE DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212231",
            "telephone_number": "858-888-7600",
            "fax_number": "858-888-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINEAGEN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-13",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "HOLMLIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ERIK",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "858-349-4995"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bionano Laboratories",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sabrina Elisabeth Lindsey, MSN, NNP-BC
• Tisha Lindsey, RN
• Jennifer Ann Lindsley, B.A.
• Bethany Ruth Lindstrom, PA-C
• Tomas K. Lindstrom, M.D.
• Eric John Linebarger, M.D.
• Heather Linenfelser
• Macarena Linero Otegui
• Liners Corp.
• Kristen Lines, M.S., R.D.

• Clinical Medical Laboratory in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.