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VIVID PATHOLOGY PA NPI 1447227590


NPI Information

NPI: 1447227590
Provider Name: VIVID PATHOLOGY PA
Classification: Pathology - 207ZP0102X
Entity Type: Organization

Specialization: Anatomic Pathology & Clinical Pathology

CLIA Number: 10D2002688

Address:
5149 N 9TH AVE
SUITE 122
PENSACOLA, FL
ZIP 32504
Phone: (850) 416-7250
Get Directions

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:

5149 N 9TH AVE
SUITE 122
PENSACOLA, FL
ZIP 32504-756
Phone: (850) 416-7250
Fax: (850) 416-6475

The provider's authorized official is Charles Farmer .
The authorized official title is President and has the following contact phone number (850) 416-7250.

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

The enumeration date for this NPI number is 3/7/2006 and was last updated on 2/22/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207ZC0500XPathologyCytopathology65194FLORIDANo
2207ZP0102XPathologyAnatomic Pathology & Clinical PathologyME53456FLORIDAYes
3291U00000XClinical Medical LaboratoryFLORIDANo

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100378OTHERFLORIDABCBS
2529001600MEDICAIDALABAMA
3064208800MEDICAIDFLORIDA

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: 11/14/2023

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