Provider Demographics
NPI:1639713787
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 1:8960 COMMERCE DR BLDG 6
Mailing Address - Street 2:
Mailing Address - City:DE SOTO
Mailing Address - State:KS
Mailing Address - Zip Code:66018-8433
Mailing Address - Country:US
Mailing Address - Phone:303-417-0500
Mailing Address - Fax:866-437-9375
Practice Address - Street 1:8960 COMMERCE DR BLDG 6
Practice Address - Street 2:
Practice Address - City:DE SOTO
Practice Address - State:KS
Practice Address - Zip Code:66018-8433
Practice Address - Country:US
Practice Address - Phone:913-583-9000
Practice Address - Fax:913-583-9001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-01
Last Update Date:2020-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS17D1089651OtherCLIA