NPI Code Detail JSON Logo

1023063062 NPI number — BLUEPRINT GENETICS INC.

NPI Number: 1023063062
Health Care Provider/Practitioner: BLUEPRINT GENETICS INC.

Information about “1023063062” NPI (BLUEPRINT GENETICS INC.) exists in 1023063062 in HTML format HTML  |  1023063062 in plain Text format TXT  |  1023063062 in PDF (Portable Document Format) PDF  |  1023063062 in an XML format XML  formats.

NPI Number : 1023063062 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1023063062",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "QUEST DIAGNOSTICS",
    "ParentOrgTIN": null,
    "OrgName": "BLUEPRINT GENETICS INC.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "14275 MIDWAY RD STE 400",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ADDISON",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75001-3661",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": "102-714-2456",
    "FirstLinePracticeLocationAddress": "200 FOREST ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MARLBOROUGH",
    "PracticeLocationAddressStateName": "MA",
    "PracticeLocationAddressPostalCode": "01752",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "508-756-2886",
    "PracticeLocationAddressFaxNumber": "508-753-5601",
    "EnumerationDate": "05/24/2006",
    "LastUpdateDate": "08/04/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "TIMMERMAN",
    "AuthorizedOfficialFirstName": "LEAH",
    "AuthorizedOfficialMiddleName": "D",
    "AuthorizedOfficialTitle": "SR. VICE PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "973-520-2700",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "291U00000X",
        "TaxonomyName": "Clinical Medical Laboratory",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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