Organization Active NPI

Freedom Path Labs LLC

  • Clinical Medical Laboratory
  • Indianapolis, IN
National Provider Identifier
1740072149
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
FREEDOM PATH LABS LLC
Practice address
3402 Schofield Ave
Indianapolis, IN 46218-1059
Phone
(317) 993-2473
NPI assigned
May 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Authorized official

Name
Angel Bumphus
Title
Administrator
Phone
(317) 993-2473

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

3402 Schofield Ave
Indianapolis, IN 46218-1059

Mailing address

1634 E Minnesota St
Indianapolis, IN 46203-2842
Phone (317) 993-2473

Other practice location 1

1634 E Minnesota St
Indianapolis, IN 46203-2842
Phone (317) 993-2473

National Provider Directory

National Provider Directory

Locations

3402 Schofield Ave
Indianapolis, IN 46218
Phone (317) 993-2473

NPI Registry JSON

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

{
    "created_epoch": "1747785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747785600000",
    "number": "1740072149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1634 E MINNESOTA ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462032842",
            "telephone_number": "317-993-2473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3402 SCHOFIELD AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462181059",
            "telephone_number": "317-993-2473"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1634 E Minnesota St",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462032842",
            "country_code": "US",
            "telephone_number": "317-993-2473",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FREEDOM PATH LABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-21",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A",
        "authorized_official_last_name": "BUMPHUS",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "317-993-2473"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; 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.