Active NPI
Razor Genomics, Inc
- Clinical Medical Laboratory
- Nashville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230816001248 | TN | Part B Supplier - Independent Clinical Laboratory | 5597190371 | Practice locations: Nashville, TN |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2135023 | Razor Genomics, Inc | Accreditation | Jun 27, 2027 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Clinical Medical Laboratory
- Nashville, TN
- NPI 1427580109
Member Of
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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- San Francisco, CA
- NPI 1659337426
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.