Healthcare Provider Details

I. General information

NPI: 1902736705
Provider Name (Legal Business Name): PRECISION PATH LAB INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1785 LOCUST ST STE 8
PASADENA CA
91106-1614
US

IV. Provider business mailing address

1785 LOCUST ST STE 8
PASADENA CA
91106-1614
US

V. Phone/Fax

Practice location:
  • Phone: 626-817-9024
  • Fax:
Mailing address:
  • Phone: 626-817-9024
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: MR. GEROGE VAHE KARAPETIAN
Title or Position: CEO
Credential:
Phone: 818-731-7783