Pathologic Diagnostic LLC
NPI 1962371450ActiveOrganization· Pathology, Dermatopathology· Beaufort, SC
Pathology, Dermatopathology in Beaufort, South Carolina, registered in NPPES in November 2025. The authorized official on file is Priscilla Jones, Credentialing Manager. Enrolled in Medicare as part b supplier - independent clinical laboratory.
Overview
| NPI | 1962371450 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 3, 2025 |
| Last updated in NPPES | Sep 8, 2026 |
| Certified by provider | Sep 8, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pathology, Dermatopathology Primary | 207ZD0900X | — | — |
| Pathology, Anatomic Pathology & Clinical Pathology | 207ZP0102X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Independent Clinical Laboratory (SC) |
|---|