Provider Demographics
NPI:1538559919
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:
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 1:2970 WILDERNESS PL
Practice Address - Street 2:SUITE 100
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301-5412
Practice Address - Country:US
Practice Address - Phone:303-417-0500
Practice Address - Fax:303-417-9700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-23
Last Update Date:2021-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO06D2085730291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
COCOB4752OtherMEDICARE PTAN