Active NPI
Prime Path Lab Inc.
- Clinical Medical Laboratory
- Denver, CO
National Provider Identifier
1194663641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 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 |
|---|---|---|---|
| 06D2341973 | Prime Path Lab Inc | Registration | Apr 9, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.