SOUTHEAST PATHOLOGY CONSULTANTS, INC.
NPI 1720546468
Clinical Medical Laboratory in Charlotte, NC

Q: What is Southeast Pathology Consultants, Inc.'s specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Active since March 12, 2019CLIA 34D2166916 · Certificate of Compliance

1815 BACK CREEK DR STE 100, CHARLOTTE, NC 28213(980) 721-6622 Get Directions Write a Review

NPPES record last updated: February 4, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 4, 2020, Mar 12, 2019 (2 updates tracked since 2019).

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About Southeast Pathology Consultants, Inc. NPPES

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

SOUTHEAST PATHOLOGY CONSULTANTS, INC. (NPI 1720546468) is a healthcare organization registered as a clinical medical laboratory in Charlotte, North Carolina and active in the NPI registry since March 2019. The organization holds a CLIA Certificate of Compliance certificate valid through October 5, 2026 and lists Omar Idlibi, Pathologist, as its authorized official.

NPPES Registry Identity

NPI1720546468

Entity TypeOrganization

Primary Taxonomy291U00000X

Legal Business NameSOUTHEAST PATHOLOGY CONSULTANTS, INC.

Location Address1815 BACK CREEK DR STE 100Charlotte, NC 28213-2159

Mailing Address1815 Back Creek Dr Ste 100Charlotte, NC 28213-2159 · (980) 721-6622

Phone(980) 721-6622

Organization SubpartNo

Authorized OfficialOmar IdlibiPathologist · (980) 721-6622

Enumeration DateMarch 12, 2019

Last NPPES UpdateFebruary 4, 20202 updates tracked since enumeration

✔ NPI 1720546468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Medical LaboratoryLaboratories

Taxonomy Code291U00000X

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.

1815 BACK CREEK DR STE 100, Charlotte, NC 28213

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina.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 34D2166916

Southeast Pathology Consultants · Charlotte, NC

Active · expires Oct 5, 2026

CLIA Number34D2166916

Laboratory TypeIndependent

Certificate Effective DateOctober 6, 2024

Certificate Expiration DateOctober 5, 2026

Laboratory DirectorOmar M. Idlibi

Laboratory Phone(704) 749-6634

Laboratory LocationSoutheast Pathology Consultants1815 Back Creek Drive, Charlotte, NC 28213

CLIA data matches this NPI record on: Address 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 18

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.

600 services373 patients

Special stained specimen slides to identify organisms including interpretation and report 88312

This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.

151 services70 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.

114 services41 patients

Detection test by nucleic acid for organism, amplified probe technique 87798

A nucleic acid detection test is a procedure to identify specific organisms in your body. This test uses an amplified probe technique, which magnifies the genetic material of the organism, making it easier to detect. It's a precise way to diagnose infections.

106 services53 patients

Detection test by nucleic acid for mycobacteria species (bacteria), amplified probe technique 87551

This test identifies the presence of mycobacteria species, which can cause various infections including tuberculosis. It uses a technique called amplified probe, which magnifies the bacteria's nucleic acid, making it easier to detect.

97 services50 patients

Detection test for candida species (yeast), amplified probe technique 87481

This test helps identify Candida, a type of fungus often present in the human body. An amplified probe technique is used, which enhances detection of the fungus in a sample. This method increases the accuracy of the test, helping to determine the best treatment.

62 services31 patients

Tissue fungi or parasites 87220

Tissue fungi or parasites refer to microorganisms that can infect various parts of the body. This may cause symptoms like fatigue, fever, and skin changes. Diagnosis involves testing samples from the affected area. Treatment often includes medication to eliminate the infection.

59 services54 patients

Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique 87500

The detection test by nucleic acid for vancomycin-resistant strep (VRE) is a laboratory procedure. It uses an amplified probe technique to identify specific genetic material in bacteria. This helps determine if the bacteria are resistant to the antibiotic vancomycin.

55 services55 patients

Preparation of tissue for examination by removing any calcium present 88311

This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.

55 services53 patients

Examination of archival tissue for genetic analysis 88363

Examination of archival tissue for genetic analysis involves studying previously collected tissue samples. This process helps detect any genetic alterations that may be linked to certain diseases. It's a crucial step in understanding your health and planning appropriate treatments.

55 services51 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.

53 services43 patients

Genetic sequencing localization, each multiplex procedure 88366

Genetic sequencing localization, each multiplex procedure, is a method used to identify specific areas in your DNA. It involves studying multiple genes at once to detect variations or mutations that might be linked to certain health conditions. This process helps in understanding your genetic makeup and potential health risks.

33 services31 patients

Genetic sequencing localization, initial procedure 88365

Genetic sequencing localization is a process to identify where specific genes are located in your DNA. During the initial procedure, a sample of your cells is collected, usually through a simple swab or blood test. This data is then analyzed to pinpoint the location of certain genes. This can help understand your genetic makeup and potential health risks.

32 services30 patients

Molecular pathology procedure; physician interpretation and report G0452

A molecular pathology procedure involves analyzing your body's cells at a molecular level to identify any abnormalities. This can help detect diseases early. A physician will interpret the results and provide a detailed report, explaining the findings clearly.

32 services32 patients

Identification of organisms by genetic analysis, amplified probe technique 87150

This procedure involves identifying organisms like bacteria or viruses in your body. It's done by amplifying a small part of their genetic material, making it easier to detect. This technique helps in accurate diagnosis and appropriate treatment.

26 services13 patients

Detection test by nucleic acid for human papillomavirus (hpv), high-risk types 87624

This test detects high-risk types of HPV, a common virus. It's done by analyzing a small sample of cells for the presence of HPV DNA. The aim is to identify any high-risk types early, as they may increase the risk of certain health issues.

22 services22 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.

22 services22 patients

Pap test, automated thin layer preparation; automated system and manual rescreening 88175

A Pap test is a screening tool that helps detect unusual cells. The automated thin layer preparation involves placing your cell sample in a thin layer on a slide. An automated system then scans the slide, and experts manually review any areas flagged by the system. This method enhances the accuracy of the results.

22 services22 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 Southeast Pathology Consultants, Inc.'s NPI number?

The NPI number for Southeast Pathology Consultants, Inc. is 1720546468. It was assigned to this organization in the NPPES registry on March 12, 2019.

Where is Southeast Pathology Consultants, Inc. located?

Southeast Pathology Consultants, Inc. is located at 1815 Back Creek Dr Ste 100, Charlotte, NC 28213. The listed phone number is (980) 721-6622.

What is Southeast Pathology Consultants, Inc.'s specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Southeast Pathology Consultants, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 34D2166916) is associated with this NPI, valid through October 5, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Southeast Pathology Consultants, Inc. accept?

Health plans from Ambetter from Absolute Total Care and Ambetter of North Carolina list Southeast Pathology Consultants, Inc. 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 Southeast Pathology Consultants, Inc. was last updated on February 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.

About Southeast Pathology Consultants, Inc. NPPES

NPPES Registry Identity

Specialties & Licenses

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Certificate of Compliance · 34D2166916

Areas of Expertise CMS Part B claims 18

Frequently Asked Questions NPPES & CMS

What is Southeast Pathology Consultants, Inc.'s NPI number?

Where is Southeast Pathology Consultants, Inc. located?

What is Southeast Pathology Consultants, Inc.'s specialty?

Does Southeast Pathology Consultants, Inc. hold a CLIA laboratory certificate?

What insurance does Southeast Pathology Consultants, Inc. accept?

When was this NPI record last updated?

Certificate of Compliance 34D2166916