Organization Active NPI

Preventiongenetics LLC

  • Clinical Medical Laboratory
  • Marshfield, WI
National Provider Identifier
1114140571
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
52D1027685 Issued in WI
Legal business name
PREVENTIONGENETICS LLC
Practice address
3800 S Business Park Ave
Marshfield, WI 54449-8625
Phone
(715) 387-0484
Fax
(715) 384-3661
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Stephen Tlachac
Title
Divisional VP and Controller
Phone
(608) 284-5700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 52D1027685 WI Primary

Addresses

Primary practice location

3800 S Business Park Ave
Marshfield, WI 54449-8625

Mailing address

3800 S Business Park Ave
Marshfield, WI 54449-8625
Phone (715) 387-0484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121105000523 WI Part B Supplier - Independent Clinical Laboratory 6901057785 Practice locations: Marshfield, WI

National Provider Directory

National Provider Directory

Locations

3700 Downwind Dr
Marshfield, WI 54449
Phone (715) 387-0448

3800 S Business Park Ave
Marshfield, WI 54449
Phone (715) 387-0484

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780876800000",
    "number": "1114140571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 S BUSINESS PARK AVE",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544498625",
            "telephone_number": "715-387-0484",
            "fax_number": "715-384-3661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 S BUSINESS PARK AVE",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544498625",
            "telephone_number": "715-387-0484",
            "fax_number": "715-384-3661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVENTIONGENETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A",
        "authorized_official_last_name": "TLACHAC",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "DIVISIONAL VP AND CONTROLLER",
        "authorized_official_telephone_number": "608-284-5700"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "WI",
            "license": "52D1027685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.