OrganizationPath Analytics Laboratory LlcClinical Medical LaboratoryLaboratoriesPractice Address13402 N Scottsdale Rd Ste B195, Scottsdale, AZ 85254-4066(888) 980-7477PECOS EnrollmentBased on the most recent information from CMS, provider Path Analytics Laboratory Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1710512389Provider TypeOrganizationFull NamePath Analytics Laboratory LlcSubpartNoEnumeration Date3/4/2020Last Updated3/4/2020Contact InformationPractice LocationPractice Address13402 N Scottsdale Rd Ste B195, Scottsdale, AZ 85254-4066Phone(888) 980-7477Fax(480) 265-4465Mailing LocationMailing Address14500 N Northsight Blvd Ste 100, Scottsdale, AZ 85260-3659Phone(888) 980-7477Fax(480) 265-4465Authorized OfficialNameGlimcher, Nicholas (Chief Executive Officer)Phone(480) 476-8761Provider TaxonomiesCodeDescriptionLicenseCode291U00000XPrimaryDescriptionClinical Medical LaboratoryLaboratoriesLicenseUnlisted Issuer