Organization Active NPI

Gopath Laboratories LLC

  • Clinical Medical Laboratory
  • Buffalo Grove, IL
National Provider Identifier
1679849251
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
GOPATH LABORATORIES LLC
Practice address
1000 Corporate Grove Dr
Buffalo Grove, IL 60089-4550
Phone
(224) 588-9940
Fax
(224) 588-9941
NPI assigned
Mar 28, 2012
Last updated
Jan 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Authorized official

Name
Jim ZB LuNPI 1073590337
Title
Ceo
Phone
(224) 588-9935

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1000 Corporate Grove Dr
Buffalo Grove, IL 60089-4550

Mailing address

1000 Corporate Grove Dr
Buffalo Grove, IL 60089-4550
Phone (224) 588-9940

Other practice location 1

8573 E Princess Dr Ste B219
Scottsdale, AZ 85255-7819
Phone (224) 588-9940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150909001044 IL Part B Supplier - Independent Clinical Laboratory 8123284601 Practice locations: Buffalo Grove, IL
O20250318001002 AZ Part B Supplier - Independent Clinical Laboratory 8123284601 Practice locations: Scottsdale, AZ

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2237597Gopath Laboratories8573 E Princess Dr Ste B-219, Scottsdale, AZ 85255AccreditationJan 9, 2028
14D2037930Gopath Laboratories1000 Corporate Grove Dr, Buffalo Grove, IL 60089AccreditationOct 22, 2027

National Provider Directory

National Provider Directory

Locations

8573 E Princess Dr
#B219
Scottsdale, AZ 85255
Phone (224) 588-9940

8573 E Princess Dr
Ste B219
Scottsdale, AZ 85255
Phone (224) 588-9940

8888 Keystone Xing
Ste 520
Indianapolis, IN 46240

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1679849251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 CORPORATE GROVE DR",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600894550",
            "telephone_number": "224-588-9940",
            "fax_number": "224-588-9941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CORPORATE GROVE DR",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600894550",
            "telephone_number": "224-588-9940",
            "fax_number": "224-588-9941"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8573 E Princess Dr Ste B219",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852557819",
            "country_code": "US",
            "telephone_number": "224-588-9940",
            "fax_number": "224-588-9941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GOPATH LABORATORIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-28",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "LU",
        "authorized_official_first_name": "JIM",
        "authorized_official_middle_name": "ZB",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "224-588-9935"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.