Provider Demographics
NPI:1043854144
Name:STEMINA BIOMARKER DISCOVERY, INC.
Entity Type:Organization
Organization Name:STEMINA BIOMARKER DISCOVERY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:DONLEY
Authorized Official - Suffix:
Authorized Official - Credentials:JD, MBA, MS
Authorized Official - Phone:608-577-9209
Mailing Address - Street 1:504 S ROSA RD STE 150
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53719-1218
Mailing Address - Country:US
Mailing Address - Phone:608-204-0104
Mailing Address - Fax:608-204-0107
Practice Address - Street 1:504 S ROSA RD STE 150
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53719-1218
Practice Address - Country:US
Practice Address - Phone:608-204-0104
Practice Address - Fax:608-204-0107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-31
Last Update Date:2019-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory