Organization
PRIME PATH LAB INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SIDDARTH GOUD GOPAGANI (PRESIDENT)
(708) 253-9454
Entity
Organization
Contact information
Practice address
6000 E EVANS AVE STE 3-014, DENVER, CO 80222-5438
(708) 253-9454
Mailing address
6000 E EVANS AVE STE 3-014, DENVER, CO 80222-5438
(708) 253-9454
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
03/24/2026
Last updated
03/24/2026
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