Active NPI
Matrix Genomics, Inc.
Doing business as Matrix Genomics
- Clinical Medical Laboratory
- Santa Fe, NM
National Provider Identifier
1467783753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- MATRIX GENOMICS, INC.
- Doing business as
- Matrix Genomics
- Practice address
- 3900 Paseo del Sol
Santa Fe, NM 87507-4072 - Phone
- (505) 216-0660
- Fax
- (505) 216-1144
- NPI assigned
- Jan 26, 2010
- Last updated
- Jan 26, 2010
- 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
- Dr. Larry Stewart Corder, PH.D.
- Title
- Ceo
- Phone
- (505) 216-0660
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
3900 Paseo del Sol
Santa Fe, NM 87507-4072
Mailing address
3900 Paseo del Sol
Santa Fe, NM 87507-4072
Phone (505) 216-0660
Other names 1
- Matrix Genomics
National Provider Directory
National Provider DirectoryLocations
3900 Paseo del Sol
Santa Fe, NM 87507
Phone (505) 310-2384
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264464000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1264464000000",
"number": "1467783753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3900 PASEO DEL SOL",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875074072",
"telephone_number": "505-216-0660",
"fax_number": "505-216-1144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 PASEO DEL SOL",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875074072",
"telephone_number": "505-216-0660",
"fax_number": "505-216-1144"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MATRIX GENOMICS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-26",
"last_updated": "2010-01-26",
"status": "A",
"authorized_official_last_name": "CORDER",
"authorized_official_first_name": "LARRY",
"authorized_official_middle_name": "STEWART",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "505-216-0660",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Matrix Genomics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.