SOUTHEAST PATHOLOGY CONSULTANTS INC. NPI 1720546468

NPI Information

  • NPI: 1720546468
  • Provider Name: SOUTHEAST PATHOLOGY CONSULTANTS, INC.
  • Classification: Clinical Medical Laboratory - 291U00000X
  • Entity Type: Organization
  • Address: 1815 BACK CREEK DR STE 100
    CHARLOTTE, NC
    ZIP 28213
  • Phone: (980) 721-6622

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NPI Details

SOUTHEAST PATHOLOGY CONSULTANTS, INC. is a clinical medical laboratory in Charlotte, NC. The provider is (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. SOUTHEAST PATHOLOGY CONSULTANTS, INC. NPI is 1720546468. The provider is registered as an organization entity type.

The provider's business location address is:

1815 BACK CREEK DR STE 100
CHARLOTTE, NC
ZIP 28213-159
Phone: (980) 721-6622

The provider's authorized official is Omar Idlibi .
The authorized official title is Pathologist and has the following contact phone number (980) 721-6622.

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.

  • Detection test by nucleic acid for organism, amplified probe technique (HCPCS:87798)
  • Identification of organisms by genetic analysis, amplified probe technique (HCPCS:87150)
  • Special stained specimen slides to identify organisms including interpretation and report (HCPCS:88312)
  • Detection test by nucleic acid for multiple organisms, amplified probe(s) technique (HCPCS:87801)
  • Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • Preparation of tissue for examination by removing any calcium present (HCPCS:88311)
  • Tissue fungi or parasites (HCPCS:87220)
  • Detection test for candida species (yeast), amplified probe technique (HCPCS:87481)
  • Molecular pathology procedure; physician interpretation and report (HCPCS:G0452)
  • Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique (HCPCS:87651)
  • Detection test by nucleic acid for strep (streptococcus, group b), amplified probe technique (HCPCS:87653)
  • Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique (HCPCS:87640)
  • Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique (HCPCS:87500)
  • Examination of archival tissue for genetic analysis (HCPCS:88363)
  • Special stained specimen slides to examine tissue, each additional procedure (HCPCS:88341)
  • Special stained specimen slides to examine tissue, initial procedure (HCPCS:88342)
  • Detection test by nucleic acid for herpes simplex virus, amplified probe technique (HCPCS:87529)
  • Detection test by nucleic acid for mycobacteria species (bacteria), amplified probe technique (HCPCS:87551)
  • Microscopic genetic analysis of nerve tissue (HCPCS:88356)
  • Special stained specimen slides to examine tissue including interpretation and report (HCPCS:88313)
  • Detection test by nucleic acid for mycoplasma pneumoniae (bacteria), amplified probe technique (HCPCS:87581)
  • Genetic sequencing localization, initial procedure (HCPCS:88365)
  • Genetic sequencing localization, each multiplex procedure (HCPCS:88366)
  • Detection test by nucleic acid for mycobacteria avium-intracellulare (bacteria), amplified probe technique (HCPCS:87561)
  • Detection test by nucleic acid for staphylococcus aureus, methicillin resistant (mrsa bacteria), amplified probe technique (HCPCS:87641)

The enumeration date for this NPI number is 3/12/2019 and was last updated on 2/4/2020.

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
1291U00000XClinical Medical LaboratoryYes

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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