Organization Active NPI

Razor Genomics, Inc

  • Clinical Medical Laboratory
  • Nashville, TN
National Provider Identifier
1487298162
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
RAZOR GENOMICS, INC
Practice address
111 10TH Ave S Ste 102
Nashville, TN 37203-3821
Phone
(844) 662-6298
Fax
(949) 271-5753
NPI assigned
Nov 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Authorized official

Name
Jaclyn Kikkert
Title
Authorized Official
Phone
(805) 405-4521

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

111 10TH Ave S Ste 102
Nashville, TN 37203-3821

Mailing address

PO Box 103450
Pasadena, CA 91189-3450
Phone (844) 662-6298

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230816001248 TN Part B Supplier - Independent Clinical Laboratory 5597190371 Practice locations: Nashville, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2135023Razor Genomics, Inc111 10TH Avenue S, Suite 110, Room 123, Nashville, TN 37203AccreditationJun 27, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1010 Atlantic Ave
Alameda, CA 94501

111 10th Ave S
Ste 102
Nashville, TN 37203
Phone (503) 352-9783

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1487298162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 103450",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911893450",
            "telephone_number": "844-662-6298",
            "fax_number": "949-271-5753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 10TH AVE S STE 102",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372033821",
            "telephone_number": "844-662-6298",
            "fax_number": "949-271-5753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAZOR GENOMICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-05",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A",
        "authorized_official_last_name": "KIKKERT",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "805-405-4521"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.