Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BRIGHTPATH LAB LLC
NPI 1932069663
Clinical Medical Laboratory in Chicago, IL

Active since November 14, 2025CLIA 14D2332956 · Accreditation
1657 N KOSTNER AVE, CHICAGO, IL 60639(320) 577-7824 Get Directions Write a Review

NPPES record last updated: August 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 6, 2026, Apr 29, 2026, Nov 25, 2025 and 1 more (4 updates tracked since 2025).

About Brightpath Lab Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIGHTPATH LAB LLC (NPI 1932069663) is a healthcare organization registered as a clinical medical laboratory in Chicago, Illinois and active in the NPI registry since November 2025. The organization holds an CLIA Accreditation certificate valid through October 27, 2027 and lists Saikumar Pulimamidi, Ceo, as its authorized official.

NPPES Registry Identity

NPI1932069663
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameBRIGHTPATH LAB LLC
Location Address1657 N KOSTNER AVEChicago, IL 60639-4704
Mailing Address1657 N Kostner AveChicago, IL 60639-4704 · (320) 577-7824
Organization SubpartNo
Authorized OfficialSaikumar PulimamidiCeo · (320) 577-7824
Enumeration DateNovember 14, 2025
Last NPPES UpdateAugust 6, 20264 updates tracked since enumeration
NPPES CertifiedAugust 6, 2026
NPI 1932069663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
1657 N KOSTNER AVE, Chicago, IL 60639

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 14D2332956

Brightpath Lab LLC · Lockport, IL
Active · expires Oct 27, 2027
CLIA Number14D2332956
Laboratory TypeIndependent
Certificate Effective DateOctober 28, 2025
Certificate Expiration DateOctober 27, 2027
Laboratory DirectorGhaith Altawallbeh
Laboratory Phone(708) 314-0939
Laboratory LocationBrightpath Lab LLC14400 Archer Ave, Unit #2, Lockport, IL 60441
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brightpath Lab LLC's NPI number?

The NPI number for Brightpath Lab LLC is 1932069663. It was assigned to this organization in the NPPES registry on November 14, 2025.

Where is Brightpath Lab LLC located?

Brightpath Lab LLC is located at 1657 N Kostner Ave, Chicago, IL 60639. The listed phone number is (320) 577-7824.

What is Brightpath Lab LLC's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Brightpath Lab LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 14D2332956) is associated with this NPI, valid through October 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Brightpath Lab LLC was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.