Provider Demographics
NPI:1528549409
Name:BIODESIX, INC.
Entity Type:Organization
Organization Name:BIODESIX, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HARPER COWIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-509-8841
Mailing Address - Street 1:2970 WILDERNESS PL STE 100
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80301-5412
Mailing Address - Country:US
Mailing Address - Phone:412-418-7787
Mailing Address - Fax:
Practice Address - Street 1:219 TERRY AVE N STE 100
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-5230
Practice Address - Country:US
Practice Address - Phone:866-432-5930
Practice Address - Fax:866-432-3338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-28
Last Update Date:2018-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMTSA.FS.60539017291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA50D2056346OtherCLIA