Organization Active NPI

Path Tech, LLC

  • Clinical Medical Laboratory
  • Mount Vernon, WA
National Provider Identifier
1982780458
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
PATH TECH, LLC
Practice address
1310 E Division St
Mount Vernon, WA 98274-4133
Phone
(360) 416-2218
Fax
(360) 416-2287
NPI assigned
Oct 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Authorized official

Name
Dr. Daryl G Vogel, M.D.
Title
Managing Partner
Phone
(360) 416-2216

Specialties & licenses 1

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

Addresses

Primary practice location

1310 E Division St
Mount Vernon, WA 98274-4133

Mailing address

1310 E Division St
Mount Vernon, WA 98274-4133
Phone (360) 416-2218

National Provider Directory

National Provider Directory

Locations

1310 E Division St
Mount Vernon, WA 98274
Phone (360) 416-2218

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": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1982780458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 E DIVISION ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982744133",
            "telephone_number": "360-416-2218",
            "fax_number": "360-416-2287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 E DIVISION ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982744133",
            "telephone_number": "360-416-2218",
            "fax_number": "360-416-2287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATH TECH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "VOGEL",
        "authorized_official_first_name": "DARYL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "360-416-2216",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.