NPIMap

Organization Active NPI

Path Labs, LLC

  • Clinical Medical Laboratory
  • Sacramento, CA
National Provider Identifier
1710983671
Registry record updated Feb 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
PATH LABS, LLC
Practice address
1166 National Dr Ste 80
Sacramento, CA 95834-1978
Phone
(916) 863-1496
Fax
(877) 405-9837
NPI assigned
Jun 24, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2018

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

Authorized official

Name
Dr. Peter Kolbeck, MD
Title
Ceo/Medical Director
Phone
(916) 863-1496

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X G78120 CA
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1166 National Dr Ste 80
Sacramento, CA 95834-1978

Mailing address

1166 National Dr Ste 80
Sacramento, CA 95834-1978
Phone (916) 863-1496

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

575 E Hardy St
Ste 207
Inglewood, CA 90301
Phone (310) 671-3033

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519344000000",
    "number": "1710983671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1166 NATIONAL DR STE 80",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341978",
            "telephone_number": "916-863-1496",
            "fax_number": "877-405-9837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1166 NATIONAL DR STE 80",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341978",
            "telephone_number": "916-863-1496",
            "fax_number": "877-405-9837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATH LABS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-24",
        "last_updated": "2018-02-23",
        "status": "A",
        "authorized_official_last_name": "KOLBECK",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "CEO/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "916-863-1496",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "G78120",
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2018; 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.