Viome Life Sciences Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

VIOME LIFE SCIENCES INC

Practice address

11724 NE 195TH St
Bothell, WA 98011-3568

Phone

(518) 353-8766

NPI assigned

Apr 19, 2023

Last updated

Apr 19, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Blanchard

Title

Coo

Phone

(425) 372-6718

Specialties & licenses 1

Addresses

Other names 1

• Viome INC Former legal business name

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

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Fuller, PHD, DABCC

  • Clinical Laboratory Director (Non-physician)
  • Cary, NC
  • NPI 1871075283
  NPD

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

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681862400000",
    "number": "1548957780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11724 NE 195TH ST",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980113568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11724 NE 195TH ST",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980113568",
            "telephone_number": "518-353-8766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIOME LIFE SCIENCES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-19",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A",
        "authorized_official_last_name": "BLANCHARD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "425-372-6718"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Viome INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jason E Vernon, LMP
• Keerthi Ruth Vethanayagam
• Javier Nayib Villalobos Plascencia, COTA/L
• Esteban Vindiola
• Andrea Vintertun, HEARING INSTRUMENT S
• Jennifer Heringer Vires, EAMC, LAC
• Diane Vo
• Tran Vo
• Katherine Vogel, D.D.S.
• Megan K Vogel, LMP

• Clinical Medical Laboratory in Bothell, WA
• Providers in Bothell, WA by specialty
• Clinical Medical Laboratory in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.