Organization Active NPI

Matrix Genomics, Inc.

Doing business as Matrix Genomics

  • Clinical Medical Laboratory
  • Santa Fe, NM
National Provider Identifier
1467783753
Registry record updated Jan 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2010

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.