Organization Active NPI

Prime Path Lab Inc.

  • Clinical Medical Laboratory
  • Denver, CO
National Provider Identifier
1194663641
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
PRIME PATH LAB INC.
Practice address
6000 E Evans Ave Ste 3-014
Denver, CO 80222-5438
Phone
(708) 253-9454
NPI assigned
Mar 24, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Authorized official

Name
Mr. Siddarth Goud Gopagani
Title
President
Phone
(708) 253-9454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

6000 E Evans Ave Ste 3-014
Denver, CO 80222-5438

Mailing address

6000 E Evans Ave Ste 3-014
Denver, CO 80222-5438
Phone (708) 253-9454

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2341973Prime Path Lab Inc6000 E Evans Ave Ste 3-014, Denver, CO 80222RegistrationApr 9, 2028

National Provider Directory

National Provider Directory

Locations

6000 E Evans Ave
Ste 3-014
Denver, CO 80222
Phone (708) 253-9454

NPI Registry JSON

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

{
    "created_epoch": "1774310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774310400000",
    "number": "1194663641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 E EVANS AVE STE 3-014",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802225438",
            "telephone_number": "708-253-9454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 E EVANS AVE STE 3-014",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802225438",
            "telephone_number": "708-253-9454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME PATH LAB INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-24",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A",
        "authorized_official_last_name": "GOPAGANI",
        "authorized_official_first_name": "SIDDARTH",
        "authorized_official_middle_name": "GOUD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-253-9454",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.