SOUTH BEND MEDICAL FOUNDATION, INC – NPI #1922623305
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.

SOUTH BEND MEDICAL FOUNDATION, INC is a pathologist located in SOUTH BEND, IN. NPPES has assigned the NPI number 1922623305 to SOUTH BEND MEDICAL FOUNDATION, INC on June 11, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207ZP0102X from the Health Care Provider Taxonomy code set, which is classified as Pathology, specializing in Anatomic Pathology & Clinical Pathology

The NPI profile was last updated on Aug 28, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTH BEND MEDICAL FOUNDATION, INC below.

NPI Profile for
SOUTH BEND MEDICAL FOUNDATION, INC

NPI Number
1922623305
Enumeration Date

(about 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTH BEND MEDICAL FOUNDATION, INC
Primary location
3355 DOUGLAS RD
SOUTH BEND, IN 46635-1779
Phone: (574) 234-4176 Fax:
1 Other location(s):
1521 Gull Rd
Kalamazoo, MI 49048-1640
Phone: (269) 226-7231
Mailing address
5700 SOUTHWYCK BLVD
TOLEDO, OH 43614-1509
Phone: Fax:
Organization Subpart
No
Authorized Official
TERRY PIPP
CFO
Phone: (574) 234-7176
Updated
Certification Date
Aug 28, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207ZP0102X
- Pathology / Anatomic Pathology & Clinical Pathology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.