Pathway Diagnostic Laboratories, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PATHWAY DIAGNOSTIC LABORATORIES, LLC

Practice address

910 Gruene Rd BLDG 5a
New Braunfels, TX 78130-0200

Phone

(830) 327-8393

NPI assigned

Jun 12, 2024

Last updated

Jul 7, 2024By 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

Mrs. Tavane Ragan

Title

Chief Executive Officer

Phone

(830) 327-8393

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720310400000",
    "number": "1952143612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 GRUENE RD BLDG 5A",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781300200",
            "telephone_number": "830-327-8393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 GRUENE RD BLDG 5A",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781300200",
            "telephone_number": "830-327-8393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAY DIAGNOSTIC LABORATORIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-12",
        "last_updated": "2024-07-07",
        "certification_date": "2024-07-07",
        "status": "A",
        "authorized_official_last_name": "RAGAN",
        "authorized_official_first_name": "TAVANE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "830-327-8393",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Puja Praful Patel, PT, DPT
• Riya Patel
• Shiv M Patel
• Sundip R Patel, O.D.
• Vibhuti Patel, OD
• Patient Centrix PLLC
• Genesis Alicia Patino, DDS
• Patricia T. Mossburg MD, PLLC
• Ashley Patten, DPT
• David Lee Patten, PA-C

• Clinical Medical Laboratory in New Braunfels, TX
• Providers in New Braunfels, TX by specialty
• Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.