Provider Demographics
NPI:1497133573
Name:BLUEPRINT GENETICS
Entity Type:Organization
Organization Name:BLUEPRINT GENETICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:ALBERT
Authorized Official - Last Name:BOWLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-454-6000
Mailing Address - Street 1:2505 3RD AVE STE 204
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98121-1480
Mailing Address - Country:US
Mailing Address - Phone:650-452-9340
Mailing Address - Fax:650-446-7790
Practice Address - Street 1:KEILARANTA 16 A-B
Practice Address - Street 2:
Practice Address - City:ESPOO
Practice Address - State:FINLAND
Practice Address - Zip Code:02150
Practice Address - Country:FI
Practice Address - Phone:358-040-2511
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:QUEST DIAGNOSTICS INCORPORATED
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-05-11
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory