Pathgen Laboratory

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PATHGEN LABORATORY

Practice address

2155 Chenault Dr Ste 410
Carrollton, TX 75006-5087

Phone

(469) 466-8111

NPI assigned

Mar 21, 2022

Organization subpart

No

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

Authorized official

Name

Riyad Masri

Title

Owner

Phone

(469) 466-8111

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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

CLIA laboratory certificates

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

{
    "created_epoch": "1647820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1285383984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 CHENAULT DR STE 410",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750065087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 CHENAULT DR STE 410",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750065087",
            "telephone_number": "469-466-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHGEN LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-21",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A",
        "authorized_official_last_name": "MASRI",
        "authorized_official_first_name": "RIYAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-466-8111"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shivani Hitesh Patel, M.D.
• Sweta Patel, PHARM.D.
• Path Alliance Inc
• Amee Pathak, D.M.D.
• Pathcare DME LLC
• Patients Comprehensive Diagnostic & Radiation Center, Inc
• Carlos Alain Patino Salazar, SA-C
• Natalie A Patten, PHARMD
• Chester Andrew Patterson II, RN
• Debra Kay Patty, RN

• Clinical Medical Laboratory in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.

Verify at the official NPI Registry.