Provider Demographics
NPI:1679849251
Name:GOPATH LABORATORIES LLC
Entity type:Organization
Organization Name:GOPATH LABORATORIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JIM
Authorized Official - Middle Name:ZB
Authorized Official - Last Name:LU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:224-588-9935
Mailing Address - Street 1:1000 CORPORATE GROVE DR
Mailing Address - Street 2:
Mailing Address - City:BUFFALO GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60089-4550
Mailing Address - Country:US
Mailing Address - Phone:224-588-9940
Mailing Address - Fax:224-588-9941
Practice Address - Street 1:1000 CORPORATE GROVE DR
Practice Address - Street 2:
Practice Address - City:BUFFALO GROVE
Practice Address - State:IL
Practice Address - Zip Code:60089-4550
Practice Address - Country:US
Practice Address - Phone:224-588-9940
Practice Address - Fax:224-588-9941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-28
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory