PATHOLOGIC DIAGNOSTIC LLC – NPI #1962371450
Specialist/Technologist, Pathology

PATHOLOGIC DIAGNOSTIC LLC is a technologist located in BEAUFORT, SC. NPPES has assigned the NPI number 1962371450 to PATHOLOGIC DIAGNOSTIC LLC on November 03, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 246QL0900X from the Health Care Provider Taxonomy code set, which is classified as Specialist/Technologist, Pathology, specializing in Laboratory Management

The NPI profile was last updated on May 15, 2026. 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 PATHOLOGIC DIAGNOSTIC LLC below.

NPI Profile for
PATHOLOGIC DIAGNOSTIC LLC

NPI Number
1962371450
Enumeration Date

(about 7 months 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
PATHOLOGIC DIAGNOSTIC LLC
Primary location
1261 RIBAUT ROAD
BEAUFORT, SC 29902
Phone: (843) 783-2273 Fax:
Mailing address
219 W BRYAN ST STE 200
SAVANNAH, GA 31401-2542
Phone: Fax:
Organization Subpart
No
Authorized Official
PRISCILLA JONES
CREDENTIALING SPECIALIST
Phone: (912) 755-9941
Updated
Certification Date
May 15, 2026

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
246QL0900X
- Specialist/Technologist, Pathology / Laboratory Management (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.