Forward Path DX Lab LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

FORWARD PATH DX LAB LLC

Practice address

5431 Barker Cypress Rd Ste 300
Houston, TX 77084-1994

Phone

(888) 624-3596

Fax

(888) 624-3596

NPI assigned

Apr 11, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Sang Nguyen

Title

Owner

Phone

(281) 787-6623

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649635200000",
    "number": "1093457939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5431 BARKER CYPRESS RD STE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770841994",
            "telephone_number": "281-787-6623",
            "fax_number": "888-624-3596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5431 BARKER CYPRESS RD STE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770841994",
            "telephone_number": "888-624-3596",
            "fax_number": "888-624-3596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORWARD PATH DX LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-11",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "SANG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-787-6623",
        "authorized_official_name_prefix": "Mrs."
    },
    "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": "45D2257515",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Dean Fortune
• Regine Marie Fortunov, MD
• Forum Healthcare Clinic Inc.
• Forward Faith Behavioral Services
• Forward Mobile Medics, LLC
• Forward Thinking LLC
• Jacqueline Mbuagbaw Fosah
• Margaret Jeanette Foss, ACC
• Prisila A Foss, M.D.
• Frank V. Fossella, M.D.

• Clinical Medical Laboratory in Houston, TX
• Providers in Houston, 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 Apr 11, 2022; 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.