Prelude Corporation

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

00348095 Issued in CA

Legal business name

PRELUDE CORPORATION

Practice address

26051 Merit Cir
Suite 103
Laguna Hills, CA 92653-7008

Phone

(949) 348-1188

NPI assigned

Apr 29, 2016

Organization subpart

No

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

Authorized official

Name

Andrew Wade

Title

Chief Financial Officer

Phone

(949) 294-1274

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Prelude Corporation

  • Clinical Medical Laboratory
  • Hershey, PA
  • NPI 1952044943

  0547546509

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Prelude Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Prelude Corporation

  • Clinical Medical Laboratory
  • Hershey, PA
  • NPI 1952044943
  NPD tax ID

Locations

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

{
    "created_epoch": "1461888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648166400000",
    "number": "1548615388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT LA 25198",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911850001",
            "telephone_number": "949-348-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26051 MERIT CIR",
            "address_2": "SUITE 103",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926537008",
            "telephone_number": "949-348-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRELUDE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-29",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "949-294-1274"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "00348095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Lauren Powell, LCSW 88738
• Christine Carolyn Powell, P.T., M.ED.
• Ledford Lee Powell, MD
• Elizabeth Prado
• Susan Pratt, MPT
• Premier Chiropractic, a Rundle Corporation
• Premier Dental Implant Center
• Premier Healthcare Services, LLC
• Premier Imaging Solutions Socal LLC
• Premier Pharmacy Socal LLC

• Clinical Medical Laboratory in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.