Active NPI
Pathwell Diagnostics LLC
- Clinical Medical Laboratory
- Houston, TX
National Provider Identifier
1902740079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2343050 | Pathwell Diagnostics LLC | Registration | Apr 29, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Nutritionist
- Spring, TX
- NPI 1972056216
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": []
}
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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.