PATHOLOGISTS DIAGNOSTIC LABORATORY PA
NPI 1003883877
Pathology - Anatomic Pathology & Clinical Pathology in Winston Salem, NC

Q: What is Pathologists Diagnostic Laboratory PA's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Active since March 01, 2006CLIA Certified · 3 labs

1800 S HAWTHORNE RD STE 100, WINSTON SALEM, NC 27103(336) 999-8888(336) 999-8889 Get Directions Write a Review

NPPES record last updated: December 12, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 12, 2025, Apr 11, 2025, Oct 3, 2022 and 5 more (8 updates tracked since 2016).

On this page

About Pathologists Diagnostic Laboratory Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PATHOLOGISTS DIAGNOSTIC LABORATORY PA (NPI 1003883877), doing business as Atlantic Pathology Services Pa, is a healthcare organization registered as an anatomic pathology & clinical pathology in Winston Salem, North Carolina and active in the NPI registry since March 2006. The organization holds 3 active CLIA laboratory certificates, maintains 3 additional practice locations, and lists Cullen A Taylor, President, as its authorized official.

NPPES Registry Identity

NPI1003883877

Entity TypeOrganization

Primary Taxonomy207ZP0102X

Legal Business NamePATHOLOGISTS DIAGNOSTIC LABORATORY PA

Location Address1800 S HAWTHORNE RD STE 100Winston Salem, NC 27103-4014

Mailing AddressPo Box 896315Charlotte, NC 28289-0369 · (336) 999-8888 · Fax (369) 999-8889

Phone(336) 999-8888

Fax(336) 999-8889

Organization SubpartNo

Authorized OfficialCullen A TaylorPresident · (336) 999-8888

Enumeration DateMarch 1, 2006

Last NPPES UpdateDecember 12, 20258 updates tracked since enumeration

NPPES CertifiedDecember 12, 2025

✔ NPI 1003883877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

License✔ Licensed in NC · 22288

Definition

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.

1800 S HAWTHORNE RD STE 100, Winston Salem, NC 27103

Open in Google Maps ↗

Other Names 1

Former Legal Business NameAtlantic Pathology Services Pa

Secondary Practice Locations 3

Location 1336 Deerfield RdBoone, NC 28607-5008 · Phone (336) 999-8888 · Fax (336) 999-8889

Location 2373 Glens Blvd.Banner Elk, NC 28604 · Phone (336) 999-8888 · Fax (369) 999-8889

Location 36835 Manatee DrConcord, NC 28025-7416 · Phone (336) 999-8888 · Fax (336) 999-8889

Other Identifiers 3

Other014HENC · Bcbs

Medicaid7001277NC

Medicaid010345456VA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pathologists Diagnostic Laboratory Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Pathologists Diagnostic Laboratory PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Joshua Kish, MD

Pathology

NPI 1225171622

1800 S HAWTHORNE RD STE 100
Winston Salem, NC 27103

(336) 999-8888

✔ PECOS✔ Accepts MedicareSame address

Tim Wax, MD

Pathology

NPI 1881686178

105 W 4TH ST STE 600
Winston Salem, NC 27101

(336) 306-5777

✔ PECOS✔ Accepts Medicare3.0 mi

Shixiong Liao, M.D.

Pathology

NPI 1285698829

1709 DUNKIRK DR
Charlotte, NC 28203

(843) 737-7468

✔ PECOS✔ Accepts Medicare67 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 34D2267316

Pathologists Diagnostic Laboratory, PA · Concord, NC

Active · expires Feb 3, 2027

CLIA Number34D2267316

Laboratory TypeIndependent

Certificate Effective DateFebruary 4, 2025

Certificate Expiration DateFebruary 3, 2027

Laboratory DirectorTim D. Wax

Laboratory Phone(336) 999-8888

Laboratory LocationPathologists Diagnostic Laboratory, PA6835 Manatee Drive, Concord, NC 28025

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 34D2327315

Pathologists Diagnostic Laboratory, PA · Banner Elk, NC

Active · expires Jul 20, 2027

CLIA Number34D2327315

Laboratory TypeIndependent

Certificate Effective DateJuly 21, 2025

Certificate Expiration DateJuly 20, 2027

Laboratory DirectorAllan R. Smith III

Laboratory Phone(336) 906-1929

Laboratory LocationPathologists Diagnostic Laboratory, PA373 Glens Blvd, Banner Elk, NC 28604

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 34D1059373

Pathologists Diagnostic Laboratory, PA · Winston-Salem, NC

Active · expires Jul 11, 2028

CLIA Number34D1059373

Laboratory TypeIndependent

Certificate Effective DateJuly 12, 2026

Certificate Expiration DateJuly 11, 2028

Laboratory DirectorTim D. Wax

Laboratory Phone(336) 906-1929

Laboratory LocationPathologists Diagnostic Laboratory, PA1800 South Hawthorne Road, Suite 100, Winston-Salem, NC 27103

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Areas of Expertise CMS Part B claims 27

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

4,642 services1,605 patients

Special stained specimen slides to examine tissue, initial procedure 88342

This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.

828 services522 patients

Special stained specimen slides to examine tissue, each additional procedure 88341

Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.

506 services149 patients

Special stained specimen slides to examine tissue, each multiplex procedure 88344

Special stained specimen slides are used to study tissue in detail. This multiplex procedure involves applying different dyes to the tissue sample on a slide to highlight specific elements. These colors help identify any abnormalities in the tissue, aiding in accurate diagnosis and treatment planning.

250 services98 patients

Pathology examination of tissue using a microscope, moderately low complexity 88304

A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.

200 services167 patients

Cell examination of specimen, selective cellular enhancement technique 88112

Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.

192 services130 patients

Pathology examination of tissue using a microscope, moderately high complexity 88307

A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.

178 services108 patients

Microscopic genetic analysis of tumor, manual 88360

Microscopic genetic analysis of a tumor involves examining your tumor's genes under a microscope. This helps identify specific genetic changes in the tumor cells. This information can aid in diagnosing, predicting disease progression, and determining the most effective treatment options.

135 services41 patients

Pathology examination of tissue using a microscope, intermediate complexity 88305

122 services104 patients

Evaluation of fine needle aspirate with interpretation and report 88173

This procedure involves using a thin needle to collect a small sample from an abnormal area or lump. The sample is then examined under a microscope to identify any potential issues. A report of the findings is provided for further analysis.

109 services69 patients

Special stained specimen slides to examine tissue including interpretation and report 88313

Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.

101 services36 patients

Pathology examination of specimen during surgery, first tissue block 88331

A pathology examination during surgery involves the immediate analysis of a removed tissue sample. This helps the surgeon make decisions during your operation. The "first tissue block" refers to the initial sample examined. It's a vital step to ensure your health.

84 services42 patients

Pathology cytologic examination of specimen during surgery, each additional site 88334

A Pathology Cytologic Examination is a test performed during surgery to examine cells from an additional site in your body. This helps identify any abnormal or diseased cells. It's an important tool in diagnosing and managing various conditions.

80 services26 patients

Blood smear interpretation by physician with written report 85060

Blood smear interpretation is a lab test where your doctor examines a sample of your blood under a microscope. They look for abnormalities in your blood cells which can help diagnose various conditions. You'll receive a written report of the findings.

77 services71 patients

Preparation of tissue for examination by removing any calcium present 88311

This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.

68 services43 patients

Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method G0416

This procedure involves taking a small tissue sample from your gland located beneath your bladder. The sample is then examined under a microscope by a pathologist to check for any abnormalities or diseases. This is a standard method to ensure your well-being.

60 services60 patients

Special stained specimen slides to identify organisms including interpretation and report 88312

This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.

41 services27 patients

Evaluation of fine needle aspirate 88172

Evaluation of fine needle aspirate is a diagnostic procedure where a thin needle is used to collect cells from a lump or mass. This sample is then examined under a microscope to determine the nature of the lump, whether it's benign (non-cancerous) or malignant (cancerous).

40 services27 patients

Pathology cytologic examination of specimen during surgery, initial site 88333

A pathology cytologic examination during surgery involves taking a small sample of cells from the initial site of concern. This sample is then examined under a microscope by a pathologist to check for any abnormal or disease-causing cells. This helps guide the ongoing surgical procedure.

33 services30 patients

Crystal identification from tissue or body fluid 89060

Crystal identification from tissue or body fluid is a medical test that helps identify the presence of certain substances in the body. It involves analyzing samples from your body to detect crystals that may indicate health conditions like gout or kidney stones.

31 services28 patients

Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician G0124

This is a routine health check where a sample of cells is collected from the lower region of the female reproductive system. The sample is preserved and prepared using automated technology for detailed examination. A doctor interprets the results to check for any abnormalities.

24 services23 patients

Preparation of tissue for examination by removing any calcium present 88311

23 services21 patients

Genetic sequencing localization, each additional procedure 88364

Genetic sequencing localization is a process where specific regions of your DNA are identified and studied. If you're having additional procedures, it simply means that more areas of your DNA are being examined. This helps to understand your genetic makeup better and can assist in identifying potential health risks.

16 services14 patients

Evaluation of fine needle aspirate with interpretation and report 88173

15 services14 patients

Bone marrow, smear interpretation 85097

Bone marrow smear interpretation is a procedure where a small sample of your bone marrow is taken and examined under a microscope. This helps doctors identify any abnormal cells or signs of diseases such as anemia, leukemia, or infections. It's a crucial step in diagnosing various blood disorders.

13 services13 patients

Pathology examination of tissue using a microscope, high complexity 88309

A high complexity pathology examination involves studying body tissue under a microscope to identify any abnormalities. This intricate process helps in diagnosing various conditions and deciding on the best treatment plan.

13 services13 patients

Genetic sequencing localization, initial procedure 88365

Genetic sequencing localization is a process to identify where specific genes are located in your DNA. During the initial procedure, a sample of your cells is collected, usually through a simple swab or blood test. This data is then analyzed to pinpoint the location of certain genes. This can help understand your genetic makeup and potential health risks.

12 services11 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pathologists Diagnostic Laboratory PA's NPI number?

The NPI number for Pathologists Diagnostic Laboratory PA is 1003883877. It was assigned to this organization in the NPPES registry on March 1, 2006. The provider was formerly known as Atlantic Pathology Services PA.

Where is Pathologists Diagnostic Laboratory PA located?

Pathologists Diagnostic Laboratory PA is located at 1800 S Hawthorne Rd Ste 100, Winston Salem, NC 27103. The listed phone number is (336) 999-8888.

What is Pathologists Diagnostic Laboratory PA's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Pathologists Diagnostic Laboratory PA enrolled in Medicare?

Yes. Pathologists Diagnostic Laboratory PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pathologists Diagnostic Laboratory PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Pathology, reassign their Medicare billing to Pathologists Diagnostic Laboratory PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Pathologists Diagnostic Laboratory PA hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Pathologists Diagnostic Laboratory PA was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

About Pathologists Diagnostic Laboratory Pa NPPES

NPPES Registry Identity

Specialties & Licenses

Other Names 1

Secondary Practice Locations 3

Other Identifiers 3

Group Practice 1

Medicare Participation & PECOS CMS

Medicare Enrollment Status

Clinicians Billing Medicare Through This Organization

Clinicians, nearest first (3)

CLIA Laboratory Certificates CMS CLIA 3

Certificate of Compliance · 34D2267316

Certificate of Compliance · 34D2327315

Certificate of Compliance · 34D1059373

Areas of Expertise CMS Part B claims 27

Frequently Asked Questions NPPES & CMS

What is Pathologists Diagnostic Laboratory PA's NPI number?

Where is Pathologists Diagnostic Laboratory PA located?

What is Pathologists Diagnostic Laboratory PA's specialty?

Is Pathologists Diagnostic Laboratory PA enrolled in Medicare?

How many clinicians bill Medicare through Pathologists Diagnostic Laboratory PA?

Does Pathologists Diagnostic Laboratory PA hold CLIA laboratory certificates?

When was this NPI record last updated?

Certificate of Compliance 34D2267316

Certificate of Compliance 34D2327315

Certificate of Compliance 34D1059373