PRESBYTERIAN PATHOLOGY GROUP PLLC
NPI 1265493233
Pathology - Anatomic Pathology & Clinical Pathology in Charlotte, NC

Q: What is Presbyterian Pathology Group PLLC's NPI number?

The NPI number for Presbyterian Pathology Group PLLC is 1265493233. It was assigned to this organization in the NPPES registry on March 30, 2006.

Q: What is Presbyterian Pathology Group PLLC's specialty?

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

Active since March 30, 2006CLIA 34D1098924 · Accreditation

200 HAWTHORNE LANE, CHARLOTTE, NC 28204(704) 384-4814(419) 866-5453 Get Directions Write a Review

NPPES record last updated: September 29, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Presbyterian Pathology Group Pllc NPPES

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

PRESBYTERIAN PATHOLOGY GROUP PLLC (NPI 1265493233) is a healthcare organization registered as an anatomic pathology & clinical pathology in Charlotte, North Carolina and active in the NPI registry since March 2006. The organization holds an CLIA Accreditation certificate valid through October 30, 2027 and lists Patrick A Wilson, President, as its authorized official.

NPPES Registry Identity

NPI1265493233

Entity TypeOrganization

Primary Taxonomy207ZP0102X

Legal Business NamePRESBYTERIAN PATHOLOGY GROUP PLLC

Location Address200 HAWTHORNE LANECharlotte, NC 28204

Mailing Address5700 Southwyck BlvdToledo, OH 43614-1509 · (800) 288-8325 · Fax (419) 866-5453

Phone(704) 384-4814

Fax(419) 866-5453

Organization SubpartNo

Authorized OfficialPatrick A WilsonPresident · (800) 288-8325

Enumeration DateMarch 30, 2006

Last NPPES UpdateSeptember 29, 2023

NPPES CertifiedSeptember 29, 2023

✔ NPI 1265493233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedPathology · HematologyTaxonomy 207ZH0000X

200 HAWTHORNE LANE, Charlotte, NC 28204

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Other Identifiers 2

Medicaid8902208NC

Other02208NC · Bcbs

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

CLIA Laboratory Certificates CMS CLIA

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 Accreditation 34D1098924

Presbyterian Pathology Group (ppg) · Charlotte, NC

Active · expires Oct 30, 2027

CLIA Number34D1098924

Laboratory TypeOther

Certificate Effective DateOctober 31, 2025

Certificate Expiration DateOctober 30, 2027

Laboratory DirectorDr. Ricky A. Thompson

Laboratory Phone(704) 384-3761

Laboratory LocationPresbyterian Pathology Group (ppg)200 Hawthorne Lane, Charlotte, NC 28204

CLIA data matches this NPI record on: Address Name

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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Other Providers at the Same Location NPPES 20

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

VIVIAN PHILSON CRNA