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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

LEGACY PATH LLC
NPI 1205693728
Pathology - Anatomic Pathology & Clinical Pathology in South Bend, IN

Active since March 01, 2024
3355 DOUGLAS RD, SOUTH BEND, IN 46635(574) 234-4176 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 16, 2026, Jun 21, 2024, Mar 6, 2024 (3 updates tracked since 2024).

About Legacy Path Llc NPPES

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

LEGACY PATH LLC (NPI 1205693728) is a healthcare organization registered as an anatomic pathology & clinical pathology in South Bend, Indiana and active in the NPI registry since March 2024. The organization lists Terry Pipp, Cfo, as its authorized official.

NPPES Registry Identity

NPI1205693728
Entity TypeOrganization
Primary Taxonomy207ZP0102X
Legal Business NameLEGACY PATH LLC
Location Address3355 DOUGLAS RDSouth Bend, IN 46635-1779
Mailing AddressPo Box 10961Fort Wayne, IN 46855-0961 · (800) 288-8325 · Fax (419) 866-5453
Phone(574) 234-4176
Organization SubpartNo
Authorized OfficialTerry PippCfo · (800) 288-8325
Enumeration DateMarch 1, 2024
Last NPPES UpdateJuly 16, 20263 updates tracked since enumeration
NPPES CertifiedJuly 16, 2026
✔ NPI 1205693728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
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.
3355 DOUGLAS RD, South Bend, IN 46635
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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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANN H MOORE R.PH
Pharmacist
3355 DOUGLAS RD
SOUTH BEND, IN 46635
St. Joseph County (574) 647-8676
MEMORIAL HOME CARE, INC.
Durable Medical Equipment & Medical Supplies
3355 DOUGLAS RD
SOUTH BEND, IN 46635
St. Joseph County (574) 273-2273
BEACON HEALTH VENTURES INC
Home Infusion
3355 DOUGLAS RD
SOUTH BEND, IN 46635
St. Joseph County (574) 647-8675
BEACON HEALTH VENTURES, INC.
Respite Care
3355 DOUGLAS RD
SOUTH BEND, IN 46635
St. Joseph County (574) 273-2273
SOUTH BEND MEDICAL FOUNDATION, INC
Pathology (Anatomic Pathology & Clinical Pathology)
3355 DOUGLAS RD
SOUTH BEND, IN 46635
St. Joseph County (574) 234-4176
BEACON HEALTH VENTURES, INC
Pharmacy (Home Infusion Therapy Pharmacy)
3355 DOUGLAS RD
SOUTH BEND, IN 46635
St. Joseph County (574) 647-2273
MR. TYRONE ARTEESE ARMSTEAD RPH, MBA
Pharmacist
3355 DOUGLAS RD
SOUTH BEND, IN 46635
St. Joseph County (574) 647-8674
MEMORIAL HOME CARE, INC.
Durable Medical Equipment & Medical Supplies
3355 DOUGLAS RD
SOUTH BEND, IN 46635
St. Joseph County (574) 273-2020

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 Legacy Path LLC's NPI number?

The NPI number for Legacy Path LLC is 1205693728. It was assigned to this organization in the NPPES registry on March 1, 2024.

Where is Legacy Path LLC located?

Legacy Path LLC is located at 3355 Douglas Rd, South Bend, IN 46635. The listed phone number is (574) 234-4176.

What is Legacy Path LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Legacy Path LLC was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.