National Provider Identifier Database

PATHOLOGIC DIAGNOSTIC LLC
Laboratory Management


Contact Information

PATHOLOGIC DIAGNOSTIC LLC
1261 RIBAUT ROAD
BEAUFORT, SC29902
Phone: 843-783-2273
Fax:
Website:
Specialty Taxonomy Code
* Laboratory Management 246QL0900X

* Indicates primary specialty

NPI Profile & details for PATHOLOGIC DIAGNOSTIC LLC

NPI Number 1962371450
Legal business name
LBN
PATHOLOGIC DIAGNOSTIC LLC
Authorized official PRISCILLA JONES - (CREDENTIALING SPECIALIST)
Entity Organization
Organization subpart No
Enumeration date 11/03/2025
Last updated 05/15/2026 - About 3 weeks ago
Sole proprietor1 Not specified
Identifiers n/a

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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