National Provider Identifier Database

VIVID PATHOLOGY PA
Anatomic Pathology & Clinical Pathology

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.


Contact Information

VIVID PATHOLOGY PA
4900 BAYOU BLVD STE 204
PENSACOLA, FL32503-2533
Phone: 850-867-8177
Fax: 850-876-6727
Website:
Specialty Taxonomy Code
* Anatomic Pathology & Clinical Pathology 207ZP0102X
Clinical Medical Laboratory 291U00000X
Cytopathology 207ZC0500X

* Indicates primary specialty

NPI Profile & details for VIVID PATHOLOGY PA

NPI Number 1447227590
Legal business name
LBN
VIVID PATHOLOGY PA
Authorized official CHRISTOPHER DADISMAN - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 03/07/2006
Last updated 01/15/2026 - About 5 months ago
Sole proprietor1 Not specified
Identifiers
  • FL License #: 65194
  • FL License #: ME53456
  • AL Medicaid: 529001600
  • FL Medicaid: 064208800
  • FL Other: 00378 BCBS

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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