Provider Demographics
NPI:1497540371
Name:PREPMD RMS LLC
Entity type:Organization
Organization Name:PREPMD RMS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:PHILIP
Authorized Official - Last Name:LISI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-268-0709
Mailing Address - Street 1:50 BRAINTREE HILL PARK STE 102
Mailing Address - Street 2:
Mailing Address - City:BRAINTREE
Mailing Address - State:MA
Mailing Address - Zip Code:02184-8741
Mailing Address - Country:US
Mailing Address - Phone:888-633-7737
Mailing Address - Fax:
Practice Address - Street 1:50 BRAINTREE HILL PARK STE 102
Practice Address - Street 2:
Practice Address - City:BRAINTREE
Practice Address - State:MA
Practice Address - Zip Code:02184-8741
Practice Address - Country:US
Practice Address - Phone:888-633-7737
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-11
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory