Organization Active NPI

Apollo Path, LLC

Doing business as Apollo Laboratories

  • Clinical Medical Laboratory
  • Dallas, TX
National Provider Identifier
1740675297
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
APOLLO PATH, LLC
Doing business as
Apollo Laboratories
Practice address
1890 Crown Dr
Suite 1330
Dallas, TX 75234-9437
Phone
(972) 685-0870
Fax
(214) 871-8647
NPI assigned
Apr 1, 2015
Last updated
Jun 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Authorized official

Name
Dr. Sara Milchgrub, MDNPI 1699744144
Title
Medical Director
Phone
(214) 871-8616

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 NU Primary

Addresses

Primary practice location

1890 Crown Dr
Suite 1330
Dallas, TX 75234-9437

Mailing address

3824 Cedar Springs Rd
Box 110
Dallas, TX 75219-4136
Phone (972) 685-0870

Other names 1

  • Apollo Laboratories Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150717000567 TX Part B Supplier - Independent Clinical Laboratory 8224341466 Practice locations: Farmers Branch, TX

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
45D2094591Apollo Path, LLC1890 Crown Drive, Suite 1330, Farmers Branch, TX 75234AccreditationApr 12, 2028

National Provider Directory

National Provider Directory

Locations

1890 Crown Dr
Ste 1330
Farmers Brnch, TX 75234
Phone (972) 685-0870

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": "1427846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1740675297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3824 CEDAR SPRINGS RD",
            "address_2": "BOX 110",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752194136",
            "telephone_number": "972-685-0870",
            "fax_number": "214-871-8647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 CROWN DR",
            "address_2": "SUITE 1330",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752349437",
            "telephone_number": "972-685-0870",
            "fax_number": "214-871-8647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOLLO PATH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-01",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A",
        "authorized_official_last_name": "MILCHGRUB",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "214-871-8616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Apollo Laboratories",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Apollo Laboratories",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.