Lifepath PSC LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

LIFEPATH PSC LLC

Practice address

11680 Great Oaks Way Ste 130
Alpharetta, GA 30022-2458

Phone

(678) 614-9848

NPI assigned

Aug 30, 2022

Last updated

Sep 8, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Samantha Chui

Title

Partner

Phone

(678) 614-9848

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662595200000",
    "number": "1376263434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11680 GREAT OAKS WAY STE 130",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300222458",
            "telephone_number": "678-614-9848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11680 GREAT OAKS WAY STE 130",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300222458",
            "telephone_number": "678-614-9848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEPATH PSC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-30",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A",
        "authorized_official_last_name": "CHUI",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "678-614-9848"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "PENDING",
            "affiliation": "N",
            "address_1": "11680 Great Oaks Way Ste 130",
            "city": "Alpharetta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300222458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; 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.