Active NPI
Genome-Based Diagnostics
- Clinical Medical Laboratory
- Carlsbad, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- GENOME-BASED DIAGNOSTICS
- Practice address
- 2091 Las Palmas Dr Ste a
Carlsbad, CA 92011-1551 - Phone
- (760) 487-8235
- NPI assigned
- Apr 12, 2023
- 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. Thomas Crisman, PHD, MS
- Title
- President
- Phone
- (831) 295-3272
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
2091 Las Palmas Dr Ste a
Carlsbad, CA 92011-1551
Mailing address
2091 Las Palmas Dr Ste a
Carlsbad, CA 92011-1551
Phone (760) 487-8235
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230704000020 | CA | Part B Supplier - Independent Clinical Laboratory | 2466811807 | Practice locations: Carlsbad, CA |
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 |
|---|---|---|---|
| 05D2278233 | Genome-Based Diagnostics | Compliance | Jul 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
6064 Corte del Cedro
Ste B
Carlsbad, CA 92011
Phone (760) 487-8235
2091 Las Palmas Dr
Ste A
Carlsbad, CA 92011
Phone (760) 487-8235
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Laboratory Management Specialist/Technologist
- Carlsbad, CA
- NPI 1538023791
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681257600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1769126400000",
"number": "1528754603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2091 LAS PALMAS DR STE A",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920111551",
"telephone_number": "760-487-8235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2091 LAS PALMAS DR STE A",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920111551",
"telephone_number": "760-487-8235"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENOME-BASED DIAGNOSTICS",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-12",
"last_updated": "2026-01-23",
"certification_date": "2026-01-23",
"status": "A",
"authorized_official_last_name": "CRISMAN",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "831-295-3272",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD, MS"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carlsbad, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2026; 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.