Pathema GX2 LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PATHEMA GX2 LLC

Practice address

5389 N Nob Hill Rd
Sunrise, FL 33351-4761

Phone

(754) 701-3746

NPI assigned

Sep 14, 2020

Last updated

Oct 8, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jack Avera

Title

Coo

Phone

(754) 701-3746

Specialties & licenses 1

Addresses

Locations

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.

• Matthew Craig Popkin, M.D.

  • Specialist
  • Hollywood, FL
  • NPI 1932254802
  NPD (past)

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602115200000",
    "number": "1790390003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5389 N NOB HILL RD",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333514761",
            "telephone_number": "754-701-3746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5389 N NOB HILL RD",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333514761",
            "telephone_number": "754-701-3746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHEMA GX2 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-14",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A",
        "authorized_official_last_name": "AVERA",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "754-701-3746"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priscila Pascua
• Angelica Joyce Lazaro Pascual
• Malavi K Patel, D.M.D
• Parit Patel
• Pratik S Patel, DMD
• Patient Choice Home Health Agency
• Patient Choice, Inc.
• Melody Paul
• Analia Paz
• Pbos LLC (Pbos)

• Clinical Medical Laboratory in Sunrise, FL
• Providers in Sunrise, FL by specialty
• Clinical Medical Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; 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.