Pathway Diagnostics, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLF11824 Issued in CA

Legal business name

PATHWAY DIAGNOSTICS, INC.

Practice address

3003 Malibu Canyon Rd
Malibu, CA 90265-4760

Phone

(310) 774-3555

Fax

(310) 774-3551

NPI assigned

May 8, 2008

Organization subpart

No

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

Authorized official

Name

Bart Thielen

Title

Cfo

Phone

(310) 774-3555

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1730356759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 MALIBU CANYON RD",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902654760",
            "telephone_number": "310-774-3555",
            "fax_number": "310-774-3551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 MALIBU CANYON RD",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902654760",
            "telephone_number": "310-774-3555",
            "fax_number": "310-774-3551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAY DIAGNOSTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "THIELEN",
        "authorized_official_first_name": "BART",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "310-774-3555"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF11824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.