Organization Active NPI

Decode Genetics Inc.

  • Clinical Medical Laboratory
  • Woodridge, IL
National Provider Identifier
1538355656
Registry record updated Sep 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
DECODE GENETICS INC.
Practice address
2501 Davey Rd
Woodridge, IL 60517-4957
Phone
(630) 783-4938
NPI assigned
Sep 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2007

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

Authorized official

Name
Axel Nielsen
Title
Chief Operating Officer
Phone
(630) 783-4938

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

2501 Davey Rd
Woodridge, IL 60517-4957

Mailing address

2501 Davey Rd
Woodridge, IL 60517-4957
Phone (630) 783-4938

National Provider Directory

National Provider Directory

Locations

2501 Davey Rd
Woodridge, IL 60517
Phone (630) 783-4938

NPI Registry JSON

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190332800000",
    "number": "1538355656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 DAVEY RD",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605174957",
            "telephone_number": "630-783-4938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 DAVEY RD",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605174957",
            "telephone_number": "630-783-4938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECODE GENETICS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-21",
        "last_updated": "2007-09-21",
        "status": "A",
        "authorized_official_last_name": "NIELSEN",
        "authorized_official_first_name": "AXEL",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "630-783-4938"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; 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.