Provider Demographics
NPI:1871467720
Name:SAFEPATH DIAGNOSTICS LLC
Entity type:Organization
Organization Name:SAFEPATH DIAGNOSTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:SHAMEKA
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-726-1658
Mailing Address - Street 1:3000 BETHESDA PL STE 503
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103-3327
Mailing Address - Country:US
Mailing Address - Phone:336-726-1658
Mailing Address - Fax:336-726-1658
Practice Address - Street 1:3000 BETHESDA PL STE 503
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-3327
Practice Address - Country:US
Practice Address - Phone:336-726-1658
Practice Address - Fax:336-726-1658
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-02
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory