Organization Active NPI

Pathwell Diagnostics LLC

  • Clinical Medical Laboratory
  • Houston, TX
National Provider Identifier
1902740079
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
PATHWELL DIAGNOSTICS LLC
Practice address
13910 Champion Forest Dr Ste 131
Houston, TX 77069-1869
Phone
(346) 594-6204
Fax
(346) 463-0647
NPI assigned
Apr 17, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Authorized official

Name
Mr. Davit Tovmasyan
Title
Owner
Phone
(747) 364-8288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

13910 Champion Forest Dr Ste 131
Houston, TX 77069-1869

Mailing address

13910 Champion Forest Dr Ste 131
Houston, TX 77069-1869
Phone (281) 836-5177

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
45D2343050Pathwell Diagnostics LLC13910 Champion Forest Drive, Ste 131, Houston, TX 77069RegistrationApr 29, 2028

National Provider Directory

National Provider Directory

Locations

13910 Champion Forest Dr
Ste 131
Houston, TX 77069
Phone (346) 594-6204

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1776384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786924800000",
    "number": "1902740079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13910 CHAMPION FOREST DR STE 131",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770691869",
            "telephone_number": "281-836-5177",
            "fax_number": "281-836-5179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13910 CHAMPION FOREST DR STE 131",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770691869",
            "telephone_number": "346-594-6204",
            "fax_number": "346-463-0647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWELL DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-17",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A",
        "authorized_official_last_name": "TOVMASYAN",
        "authorized_official_first_name": "DAVIT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "747-364-8288",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.