Healthcare Provider Details

I. General information

NPI: 1225826951
Provider Name (Legal Business Name): PATHLINE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2025
Last Update Date: 04/30/2025
Certification Date: 04/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

535 E CRESCENT AVE
RAMSEY NJ
07446-2922
US

IV. Provider business mailing address

535 E CRESCENT AVE
RAMSEY NJ
07446-2922
US

V. Phone/Fax

Practice location:
  • Phone: 877-447-4214
  • Fax: 201-661-7297
Mailing address:
  • Phone: 877-447-4214
  • Fax: 201-661-7297

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: JEFFREY SHERMAN
Title or Position: CFO
Credential:
Phone: 866-776-5907