Provider Demographics
NPI:1205834769
Name:CBLPATH, INC
Entity Type:Organization
Organization Name:CBLPATH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:
Authorized Official - Last Name:URMACHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-698-5706
Mailing Address - Street 1:110 WASHINGTON AVE
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:NORTH HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06473-1723
Mailing Address - Country:US
Mailing Address - Phone:203-584-9406
Mailing Address - Fax:203-985-2942
Practice Address - Street 1:760 WESTCHESTER AVE
Practice Address - Street 2:
Practice Address - City:RYE BROOK
Practice Address - State:NY
Practice Address - Zip Code:10573-1341
Practice Address - Country:US
Practice Address - Phone:914-698-5706
Practice Address - Fax:914-698-6624
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-08
Last Update Date:2021-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3954291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory