Provider Demographics
NPI:1871824037
Name:PATHCENTRAL, INC.
Entity Type:Organization
Organization Name:PATHCENTRAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, QUALITY ASSURANCE
Authorized Official - Prefix:MS
Authorized Official - First Name:ELAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:LUCKEY
Authorized Official - Suffix:
Authorized Official - Credentials:CLS
Authorized Official - Phone:949-208-9784
Mailing Address - Street 1:213 TECHNOLOGY DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-2439
Mailing Address - Country:US
Mailing Address - Phone:949-208-9784
Mailing Address - Fax:949-208-9790
Practice Address - Street 1:213 TECHNOLOGY DR
Practice Address - Street 2:SUITE 200
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-2439
Practice Address - Country:US
Practice Address - Phone:949-208-9776
Practice Address - Fax:949-208-9790
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-27
Last Update Date:2011-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory