Laura Jane Vidis, DO
NPI 1992382030ActiveIndividual· Student in an Organized Health Care Education/Training Program· Charlottesville, VA
Student in an Organized Health Care Education/Training Program (DO) in Charlottesville, Virginia, trained at Pacific Nw Un of Hs, Col of Osteopathic Medicine (class of 2021). Enrolled in Medicare as practitioner - pathology and practitioner - pathology.
Overview
| NPI | 1992382030 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | No |
| NPI issued | Mar 25, 2021 |
| Last updated in NPPES | Jun 23, 2025 |
| Certified by provider | Jun 23, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | 0102209133 | VA |
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 Practitioner - Pathology (IN); Practitioner - Pathology (MI) |
|---|
Education and affiliations
| Medical school | Pacific Nw Un of Hs, Col of Osteopathic Medicine |
|---|---|
| Graduation year | 2021 |
| Medicare specialty | Pathology |
Medical groups
- Legacy Path LLCKalamazoo, MI · 17 clinicians
- South Bend Medical Foundation IncKalamazoo, MI · 15 clinicians
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All 1,062 Student in an Organized Health Care Education/Training Program providers in Charlottesville · All Student in an Organized Health Care Education/Training Program providers in Virginia