Purepath Lab & Therapeutics, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PUREPATH LAB & THERAPEUTICS, LLC

Practice address

570 S Edmonds LN Ste 104
Lewisville, TX 75067-3542

Phone

(714) 249-0645

NPI assigned

Feb 7, 2022

Last updated

Jan 12, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hemraj Chaudhary

Title

Owner

Phone

(469) 464-4522

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673481600000",
    "number": "1043964257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 S EDMONDS LN STE 104",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673542",
            "telephone_number": "469-464-4522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 S EDMONDS LN STE 104",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673542",
            "telephone_number": "714-249-0645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUREPATH LAB & THERAPEUTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-07",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A",
        "authorized_official_last_name": "CHAUDHARY",
        "authorized_official_first_name": "HEMRAJ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-464-4522"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Lewisville, TX
• Providers in Lewisville, TX by specialty
• Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.