INDIAN RIVER PATHOLOGY LLC
NPI 1477513323
Clinical Medical Laboratory in Port St Lucie, FL

Active since March 24, 2006CLIA 10D1014645 · Accreditation
6696 S US HIGHWAY 1, PORT ST LUCIE, FL 34952(772) 466-6651(772) 466-0662 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 26, 2026, Aug 14, 2025, May 28, 2019 (3 updates tracked since 2019).

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

NPI1477513323
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameINDIAN RIVER PATHOLOGY LLC
Location Address6696 S US HIGHWAY 1Port St Lucie, FL 34952-1423
Mailing AddressPo Box 881016Port St Lucie, FL 34988-1016 · (772) 466-6651 · Fax (772) 466-0662
Fax(772) 466-0662
Organization SubpartNo
Authorized OfficialShelly M RobinsonRevenue Cycle/credentialing Manager · (770) 490-5009
Enumeration DateMarch 24, 2006
Last NPPES UpdateJune 10, 20263 updates tracked since enumeration
NPPES CertifiedJune 10, 2026
NPI 1477513323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
License Licensed in FL · ME46694
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
Also ListedPathology · Anatomic PathologyTaxonomy 207ZP0101X
6696 S US HIGHWAY 1, Port St Lucie, FL 34952

Other Identifiers 2

Medicaid252482100FL
Other41580FL · Bluecross

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

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, FL
Active · expires Jan 18, 2027
CLIA Number10D1014645
Laboratory TypeIndependent
Certificate Effective DateJanuary 19, 2025
Certificate Expiration DateJanuary 18, 2027
Laboratory DirectorDr. Deborah Josefson
Laboratory Phone(772) 466-6651
Laboratory LocationIndian River Pathology LLC6696 South Us 1, Port Saint Lucie, FL 34952
CLIA data matches this NPI record on: Name Phone
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.

Other Providers at the Same Location NPPES

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

Pathology (Anatomic Pathology & Clinical Pathology)
6696 S US HIGHWAY 1
PORT ST LUCIE, FL 34952

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 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.

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 60 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.