VIVID PATHOLOGY PA
NPI 1447227590
Pathology - Anatomic Pathology & Clinical Pathology in Pensacola, FL

Active since March 07, 2006CLIA 10D2154476 · Certificate of Compliance
4900 BAYOU BLVD STE 204, PENSACOLA, FL 32503(850) 867-8177(850) 876-6727 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 15, 2026, Apr 17, 2024, Feb 22, 2018 (3 updates tracked since 2018).

About Vivid Pathology Pa NPPES

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

VIVID PATHOLOGY PA (NPI 1447227590) is a healthcare organization registered as an anatomic pathology & clinical pathology in Pensacola, Florida and active in the NPI registry since March 2006. The organization holds a CLIA Certificate of Compliance certificate valid through December 18, 2026 and lists Christopher S Dadisman, President, as its authorized official.

NPPES Registry Identity

NPI1447227590
Entity TypeOrganization
Primary Taxonomy207ZP0102X
Legal Business NameVIVID PATHOLOGY PA
Location Address4900 BAYOU BLVD STE 204Pensacola, FL 32503-2533
Mailing Address5700 Southwyck BlvdToledo, OH 43614-1509 · (800) 288-8325 · Fax (419) 866-5453
Fax(850) 876-6727
Organization SubpartNo
Authorized OfficialChristopher S DadismanPresident · (866) 697-8378
Enumeration DateMarch 7, 2006
Last NPPES UpdateJanuary 15, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 15, 2026
NPI 1447227590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License Licensed in FL · ME53456
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 · CytopathologyTaxonomy 207ZC0500X · License 65194 (FL)
Also ListedClinical Medical LaboratoryTaxonomy 291U00000X
4900 BAYOU BLVD STE 204, Pensacola, FL 32503

Other Identifiers 3

Other00378FL · Bcbs
Medicaid064208800FL
Medicaid529001600AL

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

Accepted Insurance

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 Compliance 10D2154476

Vivid Pathology PA · Pensacola, FL
Active · expires Dec 18, 2026
CLIA Number10D2154476
Laboratory TypeIndependent
Certificate Effective DateDecember 19, 2024
Certificate Expiration DateDecember 18, 2026
Laboratory DirectorBenjamin J. Havard
Laboratory Phone(850) 876-8177
Laboratory LocationVivid Pathology PA123 Baptist Way, Pensacola, FL 32503
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 30

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.
13,595 services6,395 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.
2,462 services1,778 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.
1,748 services858 patients
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision G0145
This is a procedure to check for abnormal cells in the lower part of the womb or the birth canal. Cells are collected in a special fluid and prepared in a thin layer. They are then examined by an automated system and manually reviewed by a doctor for accuracy.
705 services705 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.
530 services465 patients
Pap test 88141
A Pap test is a routine exam that checks for changes in cells that could signal a health concern. During this test, a small sample of cells is gently collected from the lower region of the body. The sample is then examined under a microscope to ensure everything looks normal.
382 services290 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 Vivid Pathology PA's NPI number?

The NPI number for Vivid Pathology PA is 1447227590. It was assigned to this organization in the NPPES registry on March 7, 2006.

Where is Vivid Pathology PA located?

Vivid Pathology PA is located at 4900 Bayou Blvd Ste 204, Pensacola, FL 32503. The listed phone number is (850) 867-8177.

What is Vivid Pathology PA's specialty?

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

Does Vivid Pathology PA hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D2154476) is associated with this NPI, valid through December 18, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Vivid Pathology PA accept?

Health plans from Ambetter Health and Ambetter of Alabama list Vivid Pathology PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Vivid Pathology PA was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.