Prescient Medicine Holdings, Inc.

Primary specialty

Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X

Legal business name

PRESCIENT MEDICINE HOLDINGS, INC.

Practice address

201 E Jefferson St Ste 309
Louisville, KY 40202-1279

Phone

(502) 625-6013

NPI assigned

Mar 7, 2019

Organization subpart

Yes

Parent organization

PRESCIENT MEDICINE HOLDINGS, INC.As reported in NPPES

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

Authorized official

Name

Keri J Donaldson

Title

Ceo

Phone

(717) 974-4444

Specialties & licenses 1

Addresses

Part of

Prescient Med Holdings

Locations

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

{
    "created_epoch": "1551916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551916800000",
    "number": "1407314594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 RESEARCH BLVD STE 1000",
            "city": "HUMMELSTOWN",
            "state": "PA",
            "postal_code": "170369160",
            "telephone_number": "717-974-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E JEFFERSON ST STE 309",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021279",
            "telephone_number": "502-625-6013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESCIENT MEDICINE HOLDINGS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRESCIENT MEDICINE HOLDINGS, INC.",
        "enumeration_date": "2019-03-07",
        "last_updated": "2019-03-07",
        "status": "A",
        "authorized_official_last_name": "DONALDSON",
        "authorized_official_first_name": "KERI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "717-974-4444"
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Louisville, KY by specialty
• Clinical Pathology/Laboratory Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.