Organization
PREVENTIONGENETICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE STACEY (TREASURER)
(608) 284-5700
Entity
Organization
Contact information
Practice address
3800 S BUSINESS PARK AVE, MARSHFIELD, WI 54449-8625
(715) 387-0484
(715) 384-3661
Mailing address
3800 S BUSINESS PARK AVE, MARSHFIELD, WI 54449-8625
(715) 387-0484
(715) 384-3661
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
52D1027685
WI
Other
Enumeration date
04/11/2007
Last updated
04/11/2023
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