Organization Active NPI

Nova Path Lab LLC

  • Clinical Medical Laboratory
  • Dallas, TX
National Provider Identifier
1861367138
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
NOVA PATH LAB LLC
Practice address
4100 Spring Valley Rd Ste 172
Dallas, TX 75244-3757
Phone
(682) 458-1355
NPI assigned
Oct 7, 2025
Last updated
Oct 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Authorized official

Name
Akhil Reddy Padigela
Title
President
Phone
(682) 458-1355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

4100 Spring Valley Rd Ste 172
Dallas, TX 75244-3757

Mailing address

4100 Spring Valley Rd Ste 172
Dallas, TX 75244-3757
Phone (682) 458-1355

National Provider Directory

National Provider Directory

Locations

4100 Spring Valley Rd
Ste 172
Dallas, TX 75244
Phone (682) 458-1355

NPI Registry JSON

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

{
    "created_epoch": "1759795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759795200000",
    "number": "1861367138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 SPRING VALLEY RD STE 172",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752443757",
            "telephone_number": "682-458-1355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 SPRING VALLEY RD STE 172",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752443757",
            "telephone_number": "682-458-1355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA PATH LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-07",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A",
        "authorized_official_last_name": "PADIGELA",
        "authorized_official_first_name": "AKHIL",
        "authorized_official_middle_name": "REDDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "682-458-1355"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 7, 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.