Provider Demographics
NPI:1144465295
Name:BIODESIX, INC.
Entity type:Organization
Organization Name:BIODESIX, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP, LEGAL & REGULATORY AFFAIRS
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:AUSTIN
Authorized Official - Last Name:BOJAR
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:303-417-0500
Mailing Address - Street 1:2970 WILDERNESS PL
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80301-5412
Mailing Address - Country:US
Mailing Address - Phone:303-417-0500
Mailing Address - Fax:303-417-9700
Practice Address - Street 1:12635 E MONTVIEW BLVD
Practice Address - Street 2:SUITE 211
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-7335
Practice Address - Country:US
Practice Address - Phone:303-417-0500
Practice Address - Fax:720-859-3543
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-03
Last Update Date:2012-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO06D1090464291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory