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PROFESSIONAL PATHOLOGY OF WYOMING
NPI 1659045383
Pathology - Anatomic Pathology & Clinical Pathology in Savannah, GA

Active since August 05, 2021CLIA 53D2029475 · Accreditation
5400 SUTLIVE ST STE 3, SAVANNAH, GA 31405(770) 972-4845 Get Directions Write a Review

NPPES record last updated: August 5, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Professional Pathology Of Wyoming NPPES

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

PROFESSIONAL PATHOLOGY OF WYOMING (NPI 1659045383) is a healthcare organization registered as an anatomic pathology & clinical pathology in Savannah, Georgia and active in the NPI registry since August 2021. The organization holds an CLIA Accreditation certificate valid through August 13, 2027 and lists Lydia R Christiansen, President, as its authorized official.

NPPES Registry Identity

NPI1659045383
Entity TypeOrganization
Primary Taxonomy207ZP0102X
Legal Business NamePROFESSIONAL PATHOLOGY OF WYOMING
Location Address5400 SUTLIVE ST STE 3Savannah, GA 31405-4721
Mailing Address111 S Jefferson St Ste 150Casper, WY 82601-2654 · (307) 277-2041
Phone(770) 972-4845
Organization SubpartNo
Authorized OfficialLydia R ChristiansenPresident · (307) 337-1670
Enumeration DateAugust 5, 2021
NPPES CertifiedAugust 5, 2021
✔ NPI 1659045383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

5400 SUTLIVE ST STE 3, Savannah, GA 31405
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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 53D2029475

Professional Pathology Of Wyoming · Casper, WY
Active · expires Aug 13, 2027
CLIA Number53D2029475
Laboratory TypePrivate Pathology Lab
Certificate Effective DateAugust 14, 2025
Certificate Expiration DateAugust 13, 2027
Laboratory DirectorDr. Jason Gregorio
Laboratory Phone(307) 337-1670
Laboratory LocationProfessional Pathology Of Wyoming111 South Jefferson Street, Casper, WY 82601
CLIA data matches this NPI record on: Address 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 2

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

JOHN MOESCH
Dermatology
5400 SUTLIVE ST STE 3
SAVANNAH, GA 31405
Chatham County (912) 232-7546
CHLOE HALEY NP
Nurse Practitioner
5400 SUTLIVE ST STE 3
SAVANNAH, GA 31405
Chatham County (912) 232-7546

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 Professional Pathology Of Wyoming's NPI number?

The NPI number for Professional Pathology Of Wyoming is 1659045383. It was assigned to this organization in the NPPES registry on August 5, 2021.

Where is Professional Pathology Of Wyoming located?

Professional Pathology Of Wyoming is located at 5400 Sutlive St Ste 3, Savannah, GA 31405. The listed phone number is (770) 972-4845.

What is Professional Pathology Of Wyoming's specialty?

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

Does Professional Pathology Of Wyoming hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 53D2029475) is associated with this NPI, valid through August 13, 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 Professional Pathology Of Wyoming was last updated on August 5, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.