VIVID PATHOLOGY PA NPI 1447227590

NPI Information

  • NPI: 1447227590
  • Provider Name: VIVID PATHOLOGY PA
  • Classification: Pathology - 207ZP0102X
  • Specialization: Anatomic Pathology & Clinical Pathology
  • Entity Type: Organization
  • CLIA Number: 10D2002688
  • Address: 4900 BAYOU BLVD STE 204
    PENSACOLA, FL
    ZIP 32503
  • Phone: (850) 867-8177

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NPI Details

VIVID PATHOLOGY PA is an anatomic pathology and clinical pathology pathology in Pensacola, FL. 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. VIVID PATHOLOGY PA NPI is 1447227590. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4900 BAYOU BLVD STE 204
PENSACOLA, FL
ZIP 32503-533
Phone: (850) 867-8177
Fax: (850) 876-6727

The provider's authorized official is Christopher S Dadisman .
The authorized official title is President and has the following contact phone number (866) 697-8378.

The CLIA number assigned to this NPI record is 10D2002688 - independent with a certificate type of Certificate of Compliance.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • Special stained specimen slides to examine tissue, initial procedure (HCPCS:88342)
  • Special stained specimen slides to examine tissue, each additional procedure (HCPCS:88341)
  • Pap test (HCPCS:88141)
  • Pathology examination of tissue using a microscope, moderately low complexity (HCPCS:88304)
  • Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision (HCPCS:G0145)
  • Special stained specimen slides to identify organisms including interpretation and report (HCPCS:88312)
  • Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician (HCPCS:G0124)
  • Microscopic genetic analysis of tumor, manual (HCPCS:88360)
  • Cell examination of specimen, concentration technique (HCPCS:88108)
  • Pathology examination of tissue using a microscope, moderately high complexity (HCPCS:88307)
  • Cell examination of specimen, selective cellular enhancement technique (HCPCS:88112)
  • Special stained specimen slides to examine tissue including interpretation and report (HCPCS:88313)
  • Measurement of rna of bacteria in vaginal fluid specimen (HCPCS:81513)
  • Pap test, automated thin layer preparation; automated system and manual rescreening (HCPCS:88175)
  • Preparation of tissue for examination by removing any calcium present (HCPCS:88311)
  • Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method (HCPCS:G0416)
  • Evaluation of fine needle aspirate with interpretation and report (HCPCS:88173)
  • Detection test by nucleic acid for human papillomavirus (hpv), high-risk types (HCPCS:87624)
  • Special stained specimen slides to examine tissue, each multiplex procedure (HCPCS:88344)
  • Detection test by nucleic acid for trichomonas vaginalis (genital parasite), amplified probe technique (HCPCS:87661)
  • Flow cytometry technique for dna or cell analysis, 16 or more markers (HCPCS:88189)
  • Detection test by nucleic acid for chlamydia trachomatis, amplified probe technique (HCPCS:87491)
  • Detection test by nucleic acid for neisseria gonorrhoeae (gonorrhoeae bacteria), amplified probe technique (HCPCS:87591)
  • Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision (HCPCS:G0123)

The enumeration date for this NPI number is 3/7/2006 and was last updated on 1/15/2026.

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
1207ZC0500XPathologyCytopathology65194FLORIDANo
2291U00000XClinical Medical LaboratoryFLORIDANo
3207ZP0102XPathologyAnatomic Pathology & Clinical PathologyME53456FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100378OTHERFLORIDABCBS
2064208800MEDICAIDFLORIDA
3529001600MEDICAIDALABAMA

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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