NPI age
18 years
Enumerated 2008-04-28
● Active Type 2 · Organization
Subpart
Pathnet Lab Institute South
Pathnet Lab Institute South is 1 of 2082 clinical medical laboratory organizations in Texas.
Primary specialty
Clinical Medical Laboratory
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Kaye
President Ceo
Last NPPES update
2008-04-28
Source: monthly bulk 2026-05
How this organization compares
Across 2082 active clinical medical laboratory providers in Texas.
NPI age
18 years
↑ 10 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2008 → 2026
2008-04Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
2391 Ne Loop 410, Marymont Business Centre Building 3 Suite 309
San Antonio, TX 782175600
Mailing address
7247 Hayvenhurst Ave, Suite A3
Van Nuys, CA 914062871
Authorized official
Alan M Kaye
President Ceo
📞 8187806300
Individual providers at this organization
8 individual providers on file at this primary practice address.
- Nelda Daniel, LVN Licensed Vocational Nurse NPI 1083946719
- David Debusman, L.P.C. Counselor NPI 1336253145
- Elizabeth Lott Behavior Technician NPI 1275233363
- Lawrence MacK, LPC Counselor NPI 1992936124
- Maxwell Meier Behavior Technician NPI 1215659974
- Katarina Perguson Behavior Technician NPI 1083504773
- Peter Smolens, M.D. Internal Medicine NPI 1447235908
- William Wortham, M.D. Internal Medicine NPI 1407831449
Specialties
-
Clinical Medical Laboratory Primary(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 1670200 | |
| 01 (TX) | 269559 | OR MEDICAID |
| 01 (TX) | 37000809 | KY MEDICAID |
| 01 (TX) | 45D0972921 | CLIA |
| 01 (TX) | 0589010 | IOWA MEDICAID |
| 01 (TX) | 404539401 | MD MEDICAID |
| 05 (WY) | 112130800 | |
| 01 (CA) | 404539400 | MD MEDICAID |
| 05 (AL) | LB233CA |
Practice context
Multi-provider organization. 8 individual providers on file at this primary address.
Subpart of Pathnet Esoteric Laboratory Institute.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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