Med Path Labs Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MED PATH LABS INC

Practice address

402 N 5TH St
Longview, TX 75601-6529

Phone

(903) 758-8511

Fax

(903) 757-5033

NPI assigned

Mar 22, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Brian Oliver

Title

Cfo

Phone

(214) 871-8616

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686096000000",
    "number": "1801912779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4848 LEMMON AVE #399",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844459",
            "telephone_number": "214-886-4700",
            "fax_number": "903-757-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 N 5TH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756016529",
            "telephone_number": "903-758-8511",
            "fax_number": "903-757-5033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED PATH LABS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "214-871-8616",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sha-Ron McNaughton
• Joseph Alton McRee, CRNA
• Jeffrey G McWilliams Sr., MD
• Hope Meador, MS, SLP
• Marc J Meadows, DDS
• Med Shop Total Care Inc
• Med Shop Total Care, Inc
• Med Southwest, PLLC
• Med Southwest, PLLC
• Medical Imaging Consultants LLP

• All providers in Longview, TX
• Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; 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.