Active NPI
Preventiongenetics LLC
- Clinical Medical Laboratory
- Marshfield, WI
National Provider Identifier
1114140571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 52D1027685
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20121105000523 | WI | Part B Supplier - Independent Clinical Laboratory | 6901057785 | Practice locations: Marshfield, WI |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Ph.D. Medical Genetics
- Marshfield, WI
- NPI 1215336318
-
- Clinical Molecular Genetics Physician
- Marshfield, WI
- NPI 1912709775
-
- Molecular Genetic Pathology (Pathology) Physician
- Marshfield, WI
- NPI 1609562735
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.