SEQUENOM LABORATORIES
NPI 1528205028
Clinical Medical Laboratory in Grand Rapids, MI

Active since January 21, 2009CLIA 05D2015356 · Accreditation
301 MICHIGAN ST NE STE 580, GRAND RAPIDS, MI 49503(858) 202-9051(858) 408-7847 Get Directions Write a Review

NPPES record last updated: March 30, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 30, 2016, Jan 14, 2016 (2 updates tracked since 2016).

About Sequenom Laboratories NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SEQUENOM LABORATORIES (NPI 1528205028) is a healthcare organization registered as a clinical medical laboratory in Grand Rapids, Michigan and active in the NPI registry since January 2009. The organization holds an CLIA Accreditation certificate valid through August 22, 2027 and lists Dirk Van Den Boom, President, as its authorized official.

NPPES Registry Identity

NPI1528205028
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameSEQUENOM CENTER FOR MOLECULAR MEDICINE LLC
Location Address301 MICHIGAN ST NE STE 580Grand Rapids, MI 49503-3314
Mailing Address3595 John Hopkins CtSan Diego, CA 92121-1121 · (858) 202-9051 · Fax (858) 408-7847
Fax(858) 408-7847
Organization SubpartYesParent: Sequenom Inc
Authorized OfficialDirk Van Den BoomPresident · (858) 202-9051
Enumeration DateJanuary 21, 2009
Last NPPES UpdateMarch 30, 20162 updates tracked since enumeration
NPI 1528205028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
301 MICHIGAN ST NE STE 580, Grand Rapids, MI 49503

Other Names 1

Doing Business AsSequenom Laboratories

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 05D2015356

Sequenom Center For Molecular Medicine, LLC · San Diego, CA
Active · expires Aug 22, 2027
CLIA Number05D2015356
Laboratory TypeIndependent
Certificate Effective DateAugust 23, 2025
Certificate Expiration DateAugust 22, 2027
Laboratory DirectorDr. Phillip M. Cacheris
Laboratory Phone(858) 202-9142
Laboratory LocationSequenom Center For Molecular Medicine, LLC3595 John Hopkins Court ''attn Dr Phillip Cacheris, MD, Phd'', San Diego, CA 92121
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pathology (Clinical Laboratory Director, Non-physician)
301 MICHIGAN ST NE STE 580
GRAND RAPIDS, MI 49503

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sequenom Center For Molecular Medicine LLC's NPI number?

The NPI number for Sequenom Center For Molecular Medicine LLC is 1528205028. It was assigned to this organization in the NPPES registry on January 21, 2009. The provider is doing business as Sequenom Laboratories.

Where is Sequenom Center For Molecular Medicine LLC located?

Sequenom Center For Molecular Medicine LLC is located at 301 Michigan St NE Ste 580, Grand Rapids, MI 49503. The listed phone number is (858) 202-9051.

What is Sequenom Center For Molecular Medicine LLC's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Sequenom Center For Molecular Medicine LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 05D2015356) is associated with this NPI, valid through August 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Sequenom Center For Molecular Medicine LLC accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica, Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and University of Utah Health Plans list Sequenom Center For Molecular Medicine LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sequenom Center For Molecular Medicine LLC was last updated on March 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.