Provider Demographics
NPI:1942382783
Name:ZPATH LLC
Entity Type:Organization
Organization Name:ZPATH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LAB DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ZAFAR
Authorized Official - Middle Name:M
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-691-5667
Mailing Address - Street 1:12300 ALT. A1A
Mailing Address - Street 2:SUITE 204
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-8361
Mailing Address - Country:US
Mailing Address - Phone:561-691-5667
Mailing Address - Fax:561-691-5669
Practice Address - Street 1:12300 ALT. A1A
Practice Address - Street 2:SUITE 204
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-8361
Practice Address - Country:US
Practice Address - Phone:561-691-5667
Practice Address - Fax:561-691-5669
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-20
Last Update Date:2015-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL800027426291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL014143300Medicaid
FL2007-14869OtherOCCUPATIONAL LICENSE
L9309OtherBCBS
FL10D1059072OtherCLIA
FL2007-14869OtherOCCUPATIONAL LICENSE
FL10D1059072OtherCLIA