Provider Demographics
NPI:1922701531
Name:COREPATH LABORATORIES, P.A.
Entity Type:Organization
Organization Name:COREPATH LABORATORIES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AAMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:EHSAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-497-0445
Mailing Address - Street 1:6918 CAMP BULLIS RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78256-2236
Mailing Address - Country:US
Mailing Address - Phone:210-497-0445
Mailing Address - Fax:866-492-1577
Practice Address - Street 1:1245 WHITEHORSE MERCERVILLE RD STE 413
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08619-3831
Practice Address - Country:US
Practice Address - Phone:877-617-4445
Practice Address - Fax:210-617-4457
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COREPATH LABORATORIES, P.A.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-03-23
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical PathologyGroup - Multi-Specialty