Pathpro Labs LLC.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PATHPRO LABS LLC.

Doing business as

PathPro Labs

Practice address

1977 N Park PL SE Ste 300
Atlanta, GA 30339-2004

Phone

(678) 887-2853

Fax

(855) 955-1283

NPI assigned

Dec 21, 2020

Last updated

Mar 25, 2022By 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

Mr. George Adesokan

Title

Director of Lab Operations

Phone

(678) 887-2853

Specialties & licenses 1

Addresses

Other names 1

• PathPro Labs Doing business as

Locations

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

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648166400000",
    "number": "1811584154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 N PARK PL SE STE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303392004",
            "telephone_number": "678-887-2853",
            "fax_number": "855-955-1283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1977 N PARK PL SE STE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303392004",
            "telephone_number": "678-887-2853",
            "fax_number": "855-955-1283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHPRO LABS LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-21",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A",
        "authorized_official_last_name": "ADESOKAN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "DIRECTOR OF LAB OPERATIONS",
        "authorized_official_telephone_number": "678-887-2853",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PathPro Labs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Medical Laboratory in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Clinical Medical Laboratory in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; 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.