Provider Demographics
NPI:1407314594
Name:PRESCIENT MEDICINE HOLDINGS, INC.
Entity type:Organization
Organization Name:PRESCIENT MEDICINE HOLDINGS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KERI
Authorized Official - Middle Name:J
Authorized Official - Last Name:DONALDSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-974-4444
Mailing Address - Street 1:1214 RESEARCH BLVD STE 1000
Mailing Address - Street 2:
Mailing Address - City:HUMMELSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17036-9160
Mailing Address - Country:US
Mailing Address - Phone:717-974-4444
Mailing Address - Fax:
Practice Address - Street 1:201 E JEFFERSON ST STE 309
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-1279
Practice Address - Country:US
Practice Address - Phone:502-625-6013
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PRESCIENT MEDICINE HOLDINGS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-03-07
Last Update Date:2019-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZP0105XAllopathic & Osteopathic PhysiciansPathologyClinical Pathology/Laboratory MedicineGroup - Single Specialty