HEALTHY PATH DOC LLC NPI 1174212203

NPI Information

  • NPI: 1174212203
  • Provider Name: HEALTHY PATH DOC, LLC
  • Classification: Pathology - 207ZP0102X
  • Specialization: Anatomic Pathology & Clinical Pathology
  • Entity Type: Organization
  • Address: 5358 CAROLWOOD DR
    JACKSON, MS
    ZIP 39211
  • Phone: (601) 405-4163

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NPI Details

HEALTHY PATH DOC, LLC is an anatomic pathology and clinical pathology pathology in Jackson, MS. The provider is 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. HEALTHY PATH DOC, LLC NPI is 1174212203. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5358 CAROLWOOD DR
JACKSON, MS
ZIP 39211-267
Phone: (601) 405-4163

The provider's authorized official is Lafarra Demetric Young-gaylor .
The authorized official title is Manager and has the following contact phone number (601) 405-4163.

The enumeration date for this NPI number is 5/4/2023 and was last updated on 5/4/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207ZP0102XPathologyAnatomic Pathology & Clinical PathologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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