COASTAL CAROLINA PATHOLOGY, PA
NPI 1487170387
Pathology - Anatomic Pathology & Clinical Pathology in Wilmington, NC

Active since August 22, 2017CLIA 34D1008175 · Accreditation
2606 IRON GATE DR STE 201, WILMINGTON, NC 28412(910) 395-4441(910) 395-7074 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, Aug 22, 2017 (2 updates tracked since 2017).

  • Organization
  • Pathology
  • Anatomic Pathology & Clinical Pathology
  • CLIA Number: 34D1008175
  • CLIA Cert. Type: Independent
  • CLIA Exp. Date: 08-22-2026

About COASTAL CAROLINA PATHOLOGY, PA

This page provides the complete NPI Profile along with additional information for Coastal Carolina Pathology, Pa, a provider established in Wilmington, North Carolina operating as a Pathology, focusing in anatomic pathology & clinical pathology . The healthcare provider is registered in the NPI registry with number 1487170387 assigned on August 2017. The practitioner's primary taxonomy code is 207ZP0102X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Coastal Carolina Pathology, Pa. The authorized official of this NPI record is Dr. Warren C White Md (President)

NPI
1487170387 Verify this NPI
Provider Legal Name
COASTAL CAROLINA PATHOLOGY, PA
Other Organization Name
COASTAL CAROLINA PATHOLOGY, PA
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2606 IRON GATE DR STE 201 WILMINGTON, NC 28412
Location Phone
(910) 395-4441
Location Fax
(910) 395-7074
Mailing Address
2606 IRON GATE DR STE 201 WILMINGTON, NC 28412
Mailing Phone
(910) 395-4441
Mailing Fax
(910) 395-7074
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-22-2017
Last Update Date
07-21-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pathology Anatomic Pathology & Clinical Pathology

Taxonomy Code
207ZP0102X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. WARREN C WHITE MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(910) 395-4441

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
7001210MEDICAID (05)NC 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
34D1008175
Facility Type
Independent
Certificate Effective Date
August 23, 2024
Certificate Expiration Date
August 22, 2026
Laboratory Director
DR. WARREN C. WHITE
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Coastal Carolina Pathology, Pa on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

Reviews for COASTAL CAROLINA PATHOLOGY, PA

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487170387, enumerated as an "organization" on August 22, 2017.

The provider is located at 2606 IRON GATE DR STE 201 WILMINGTON, NC 28412 and the phone number is (910) 395-4441.

Pathology with taxonomy code 207ZP0102X and a focus in Anatomic Pathology & Clinical Pathology.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.