INDIAN RIVER PATHOLOGY LLC
NPI 1477513323
Clinical Medical Laboratory in Port St Lucie, FL
About Indian River Pathology Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INDIAN RIVER PATHOLOGY LLC (NPI 1477513323) is a healthcare organization registered as a clinical medical laboratory in Port St Lucie, Florida and active in the NPI registry since March 2006. The organization holds an CLIA Accreditation certificate valid through January 18, 2027 and lists Shelly M Robinson, Revenue Cycle/credentialing Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Indian River Pathology Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Indian River Pathology LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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
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 10D1014645
Indian River Pathology LLC · Port Saint Lucie, FLFrequently 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 Indian River Pathology LLC's NPI number?
The NPI number for Indian River Pathology LLC is 1477513323. It was assigned to this organization in the NPPES registry on March 24, 2006.
Where is Indian River Pathology LLC located?
Indian River Pathology LLC is located at 6696 S Us Highway 1, Port St Lucie, FL 34952. The listed phone number is (772) 466-6651.
What is Indian River Pathology LLC's specialty?
The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.
Is Indian River Pathology LLC enrolled in Medicare?
Yes. Indian River Pathology LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Indian River Pathology LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Pathology, reassign their Medicare billing to Indian River Pathology LLC. 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 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Indian River Pathology LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Accreditation (number 10D1014645) is associated with this NPI, valid through January 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Indian River Pathology LLC was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.