Manhattan Path Lab, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MANHATTAN PATH LAB, LLC

Practice address

333 E 49TH St Apt LK
New York, NY 10017-1626

Phone

(855) 621-8250

Fax

(253) 777-9855

NPI assigned

Mar 31, 2025

Organization subpart

No

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

Authorized official

Name

Ethne Nance

Title

Credentialing

Phone

(253) 777-9855

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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

{
    "created_epoch": "1743379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783296000000",
    "number": "1194528430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 E 49TH ST APT LK",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100171626",
            "telephone_number": "855-621-8250",
            "fax_number": "253-777-9855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E 49TH ST APT LK",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100171626",
            "telephone_number": "855-621-8250",
            "fax_number": "253-777-9855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANHATTAN PATH LAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-31",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A",
        "authorized_official_last_name": "NANCE",
        "authorized_official_first_name": "ETHNE",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "253-777-9855"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in New York, NY
• Providers in New York, NY by specialty
• Clinical Medical Laboratory in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.