Pathpro Diagnostics, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PATHPRO DIAGNOSTICS, LLC

Practice address

506 Manchester Expy Ste B2
Columbus, GA 31904-6448

Phone

(404) 981-3829

Fax

(706) 322-2200

NPI assigned

Nov 19, 2015

Organization subpart

No

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

Authorized official

Name

Mr. George Adesokan

Title

Operation Manager

Phone

(678) 887-2853

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1447891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473811200000",
    "number": "1205200888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 MANCHESTER EXPY STE B2",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319046448",
            "telephone_number": "404-981-3829",
            "fax_number": "706-322-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 MANCHESTER EXPY STE B2",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319046448",
            "telephone_number": "404-981-3829",
            "fax_number": "706-322-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHPRO DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-19",
        "last_updated": "2016-09-14",
        "status": "A",
        "authorized_official_last_name": "ADESOKAN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OPERATION MANAGER",
        "authorized_official_telephone_number": "678-887-2853",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tushar Patel
• Vaibhav Vinubhai Patel, M.D.
• Yashvant D Patel, MD
• Patella Medical, Inc
• Mohammed Y Pathan, MD
• Pathway LLC
• Patricia R Corbin Otd-Ms-Otr-L
• Quenton Anthony Patrick, M.A.
• Cynthia Patten, LPC
• Kendra L. Patten

• Clinical Medical Laboratory in Columbus, GA
• Providers in Columbus, GA by specialty
• Clinical Medical Laboratory in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; 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.