PATHOLOGIC DIAGNOSTIC LLC
NPI 1962371450
Specialist/Technologist, Pathology - Laboratory Management in Beaufort, SC
NPI Status: Active since November 03, 2025
Contact Information
1261 RIBAUT ROAD
BEAUFORT, SC
ZIP 29902
Phone: (843) 783-2273
Some details in this NPI profile have been updated in the NPI registry within the last 30 days.
- Organization
- Specialist/Technologist, Pathology
- Laboratory Management
- CLIA Number: 42D2326626
- CLIA Cert. Type: Independent
- CLIA Exp. Date: 07-07-2027
About PATHOLOGIC DIAGNOSTIC LLC
This page provides the complete NPI Profile along with additional information for Pathologic Diagnostic Llc, a provider established in Beaufort, South Carolina operating as a Specialist/technologist, Pathology, focusing in laboratory management . The healthcare provider is registered in the NPI registry with number 1962371450 assigned on November 2025. The practitioner's primary taxonomy code is 246QL0900X. The provider is registered as an organization and their NPI record was last updated May 2026. 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 authorized official of this NPI record is Priscilla Jones (Credentialing Specialist)
- NPI
- 1962371450
- Provider Name
- PATHOLOGIC DIAGNOSTIC LLC
- Entity Type
- Organization
- Location Address
- 1261 RIBAUT ROAD BEAUFORT, SC 29902
- Location Phone
- (843) 783-2273
- Mailing Address
- 219 W BRYAN ST STE 200 SAVANNAH, GA 31401
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-03-2025
- Last Update Date
- 05-15-2026
- Code Navigator
Location Map
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
Specialist/Technologist, Pathology Laboratory Management
- Taxonomy Code
- 246QL0900X
- Type
- Technologists, Technicians & Other Technical Service Providers
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.
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
- 42D2326626
- Facility Type
- Independent
- Certificate Effective Date
- July 08, 2025
- Certificate Expiration Date
- July 07, 2027
- Laboratory Director
- CECILIA M. ROSALES
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Pathologic Diagnostic Llc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1962371450, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 60 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962371450, enumerated as an "organization" on November 03, 2025.
The provider is located at 1261 RIBAUT ROAD BEAUFORT, SC 29902 and the phone number is (843) 783-2273.
Specialist/Technologist, Pathology with taxonomy code 246QL0900X and a focus in Laboratory Management.
