Provider Demographics
NPI:1750944526
Name:SILVERPATH, INC.
Entity type:Organization
Organization Name:SILVERPATH, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHEA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRELSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:854-429-1069
Mailing Address - Street 1:22 WESTEDGE ST STE 800
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29403-6984
Mailing Address - Country:US
Mailing Address - Phone:854-429-1069
Mailing Address - Fax:833-247-4091
Practice Address - Street 1:512 E. TOWNSHIP LINE ROAD
Practice Address - Street 2:SUITE 135, TOWER 4
Practice Address - City:BLUE BELL
Practice Address - State:PA
Practice Address - Zip Code:19422-2700
Practice Address - Country:US
Practice Address - Phone:854-429-1069
Practice Address - Fax:833-247-4091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-17
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes291U00000XLaboratoriesClinical Medical Laboratory
No207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical PathologyGroup - Multi-Specialty
No207ZP0105XAllopathic & Osteopathic PhysiciansPathologyClinical Pathology/Laboratory MedicineGroup - Multi-Specialty