Pathema GX Lab, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PATHEMA GX LAB, LLC

Practice address

250 Ed English Dr Ste E
Shenandoah, TX 77385-8020

Phone

(916) 716-7117

Fax

(833) 819-4910

NPI assigned

Jun 17, 2019

Organization subpart

No

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

Authorized official

Name

Christopher Eaves

Title

Managing Member

Phone

(916) 716-7117

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638316800000",
    "number": "1548820046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 140TH AVE",
            "address_2": "STE 102",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33762",
            "fax_number": "833-819-4910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 ED ENGLISH DR STE E",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773858020",
            "telephone_number": "916-716-7117",
            "fax_number": "833-819-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHEMA GX LAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-17",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A",
        "authorized_official_last_name": "EAVES",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "916-716-7117"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chinal Patel
• Hemali Haresh Patel, D.P.M
• Jigar Patel, M.D.
• Riddhi Dinesh Patel
• Urmeel Hasmukh Patel, M.D.
• Emily Tignor Patton, M.D.
• Paul S. Gill, M.D., PLLC
• Ashley Bryn Paulsen, LPC-A
• Alyona Pavlova, NURSE PRACTITIONER
• Kara Kathleen Peace, PT, DPT

• Clinical Medical Laboratory in Shenandoah, TX
• Providers in Shenandoah, 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 1, 2021; 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.