Provider Demographics
NPI:1861897944
Name:TRANSPATH INC.
Entity type:Organization
Organization Name:TRANSPATH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:DENIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-384-3325
Mailing Address - Street 1:21018 OSBORNE ST STE 5
Mailing Address - Street 2:
Mailing Address - City:CANOGA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91304-1754
Mailing Address - Country:US
Mailing Address - Phone:818-993-1489
Mailing Address - Fax:818-993-1545
Practice Address - Street 1:21018 OSBORNE ST STE 5
Practice Address - Street 2:
Practice Address - City:CANOGA PARK
Practice Address - State:CA
Practice Address - Zip Code:91304-1754
Practice Address - Country:US
Practice Address - Phone:818-993-1489
Practice Address - Fax:818-993-1545
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-30
Last Update Date:2015-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACB240407Medicare PIN