NPIMap

Organization Active NPI

Lineagen, Inc.

  • Clinical Medical Laboratory
  • Salt Lake City, UT
National Provider Identifier
1699095901
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
LINEAGEN, INC.
Practice address
2677 E Parleys Way
Salt Lake City, UT 84109-1617
Phone
(801) 931-6200
Fax
(801) 931-6201
NPI assigned
Jun 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Authorized official

Name
Robert Erik Holmlin, PHD
Title
Ceo
Phone
(801) 931-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

2677 E Parleys Way
Salt Lake City, UT 84109-1617

Mailing address

2677 E Parleys Way
Salt Lake City, UT 84109-1617
Phone (801) 931-6200

Other names 1

  • Bionano Laboratories Doing business as

National Provider Directory

National Provider Directory

Locations

2677 E Parleys Way
Salt Lake Cty, UT 84109
Phone (801) 931-6191

Practitioners & affiliated clinicians

Practitioners 5

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": "1276041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663891200000",
    "number": "1699095901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2677 E PARLEYS WAY",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841091617",
            "telephone_number": "801-931-6200",
            "fax_number": "801-931-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2677 E PARLEYS WAY",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841091617",
            "telephone_number": "801-931-6200",
            "fax_number": "801-931-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINEAGEN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-09",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A",
        "authorized_official_last_name": "HOLMLIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ERIK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-931-6200",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bionano Laboratories",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; 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.