Active NPI
Path MD Inc
- Clinical Medical Laboratory
- Irvine, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- PATH MD INC
- Practice address
- 181 Technology Dr Ste 100B
Irvine, CA 92618-2484 - Phone
- (424) 302-3307
- Fax
- (818) 279-6939
- NPI assigned
- Jul 12, 2011
- Last updated
- Sep 22, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Siamak Tabib
- Title
- Owner
- Phone
- (310) 652-4472
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
181 Technology Dr Ste 100B
Irvine, CA 92618-2484
Mailing address
PO Box 745229
Los Angeles, CA 90074-5229
Phone (424) 302-3307
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, TX
Enrollment records 3
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0555414 | Georgette Tadros MD | Certificate of waiver | Aug 31, 2026 |
| 05D2045519 | Path MD | Accreditation | Feb 3, 2027 |
National Provider Directory
National Provider DirectoryLocations
931 Buena Vista St
Ste 200A
Duarte, CA 91010
Phone (818) 321-2745
8 Medical Pkwy
Ste 306A
Farmers Brnch, TX 75234
Phone (469) 722-1906
Practitioners & affiliated clinicians
Practitioners 25
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310428800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790035200000",
"number": "1124316138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 745229",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900745229",
"telephone_number": "424-302-3307",
"fax_number": "818-279-6939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 TECHNOLOGY DR STE 100B",
"city": "IRVINE",
"state": "CA",
"postal_code": "926182484",
"telephone_number": "424-302-3307",
"fax_number": "818-279-6939"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATH MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-07-12",
"last_updated": "2026-09-22",
"certification_date": "2026-09-22",
"status": "A",
"authorized_official_last_name": "TABIB",
"authorized_official_first_name": "SIAMAK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "310-652-4472"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.