Prelude Corporation

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PRELUDE CORPORATION

Practice address

60 Laurel Ridge Rd
Hershey, PA 17033-2513

Phone

(888) 211-3247

Fax

(888) 909-3247

NPI assigned

Apr 18, 2022

Organization subpart

Yes

Parent organization

PRELUDE CORPORATIONAs reported in NPPES

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

Other identifiers 1

Other names 1

• PRELUDE DX PENNSYLVANIA Other name

Medicare fee-for-service enrollment

Enrolled in PA

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
  • Laguna Hills, CA
  • NPI 1548615388

  0547546509

  Same PAC ID

Tax ID family

Prelude Corporation2 organizations share this tax ID, including this one

Part of

Prelude Corporation

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
  • Laguna Hills, CA
  • NPI 1548615388
  NPD tax ID

Locations

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

{
    "created_epoch": "1650240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650240000000",
    "number": "1952044943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26051 MERIT CIR STE 102",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926537008",
            "telephone_number": "888-211-3247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 LAUREL RIDGE RD",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332513",
            "telephone_number": "888-211-3247",
            "fax_number": "888-909-3247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRELUDE CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRELUDE CORPORATION",
        "enumeration_date": "2022-04-18",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-12",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "39D2243493",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRELUDE DX PENNSYLVANIA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kara Powers, PA-C
• Autumn Courtney Poznaniak, MSN, FNP-BC
• Pilar M Prabhu, DO
• Amulya Prakash, MD
• Amit A Prasad, M.D.
• Prescient Lab Services, LLC (SOLVD Health)
• Jamese Nicole Preston-Seiple
• Ethan Joseph Price, PA
• Jacqueline R Price, AUD
• Jamie R Price, CRNP

• Clinical Medical Laboratory in Hershey, PA
• Providers in Hershey, PA by specialty
• Clinical Medical Laboratory in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; 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.