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General NPI Number Information
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NPI Number | 1316827181
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Entity Type | Organization
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Legal Business Name | PATHWAY DIAGNOSTICS LABORATORIES 2 LIMITED LIABILITY COMPANY
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Dates
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Enumeration Date | 09/03/2025
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 19269 FM 2252 STE 100
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City | GARDEN RIDGE
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State | TX
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Zip | 78266-2579
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Country | US
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Telephone | 678-699-6106
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Fax |
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Provider Business Mailing Address
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Address Line | 19269 FM 2252 STE 100
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City | GARDEN RIDGE
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State | TX
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Zip | 78266-2579
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Country | US
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Telephone | 678-699-6106
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | GREG RAGAN
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Credential |
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Telephone | 830-632-5005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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