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PALMETTO PATHOLOGY PA NPI 1538139795


NPI Information

NPI: 1538139795
Provider Name: PALMETTO PATHOLOGY PA
Classification: Pathology - 207ZP0102X
Entity Type: Organization

Specialization: Anatomic Pathology & Clinical Pathology

Address:
3655 MITCHELL ST
DEPARTMENT OF PATHOLOGY
LORIS, SC
ZIP 29569
Phone: (843) 716-7000
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PALMETTO PATHOLOGY PA is an anatomic pathology and clinical pathology pathology in Loris, SC. 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. PALMETTO PATHOLOGY PA NPI is 1538139795. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3655 MITCHELL ST
DEPARTMENT OF PATHOLOGY
LORIS, SC
ZIP 29569-827
Phone: (843) 716-7000
Fax: (843) 716-7272

The provider's authorized official is Alexander C Logan .
The authorized official title is President Palmetto Pathology Pa and has the following contact phone number (843) 716-7000.

The enumeration date for this NPI number is 1/23/2006 and was last updated on 8/14/2008.


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
1207ZB0001XPathologyBlood Banking & Transfusion MedicineNo
2207ZC0500XPathologyCytopathologyNo
3207ZD0900XPathologyDermatopathologyNo
4207ZF0201XPathologyForensic PathologyNo
5207ZH0000XPathologyHematologyNo
6207ZI0100XPathologyImmunopathologyNo
7207ZM0300XPathologyMedical MicrobiologyNo
8207ZN0500XPathologyNeuropathologyNo
9207ZP0007XPathologyMolecular Genetic PathologyNo
10207ZP0101XPathologyAnatomic PathologyNo
11207ZP0104XPathologyChemical PathologyNo
12207ZP0105XPathologyClinical Pathology/Laboratory MedicineNo
13207ZP0213XPathologyPediatric PathologyNo
14207ZP0102XPathologyAnatomic Pathology & Clinical PathologyYes

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
1C15074MEDICARE PIN
26112MEDICARE PINSOUTH CAROLINA
3GP2307MEDICAIDSOUTH CAROLINA
46112MEDICARE PIN
5790285NMEDICAIDNORTH CAROLINA

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.