PATHOLOGIC DIAGNOSTIC LLC
NPI 1962371450
Specialist/Technologist, Pathology - Laboratory Management in Beaufort, SC
About Pathologic Diagnostic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PATHOLOGIC DIAGNOSTIC LLC (NPI 1962371450) is a healthcare organization registered as a laboratory management in Beaufort, South Carolina and active in the NPI registry since November 2025. The organization holds a CLIA Certificate of Compliance certificate valid through July 7, 2027 and lists Priscilla Jones, Credentialing Specialist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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 42D2326626
Pathologic Diagnostics, LLC · Beaufort, SCFrequently 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 Pathologic Diagnostic LLC's NPI number?
The NPI number for Pathologic Diagnostic LLC is 1962371450. It was assigned to this organization in the NPPES registry on November 3, 2025.
Where is Pathologic Diagnostic LLC located?
Pathologic Diagnostic LLC is located at 1261 Ribaut Road, Beaufort, SC 29902. The listed phone number is (843) 783-2273.
What is Pathologic Diagnostic LLC's specialty?
The primary specialty registered for this NPI is Specialist/Technologist, Pathology, specializing in Laboratory Management, with taxonomy code 246QL0900X.
Does Pathologic Diagnostic LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 42D2326626) is associated with this NPI, valid through July 7, 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 Pathologic Diagnostic LLC was last updated on May 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.
# Pathologic Diagnostic Llc · NPI 1962371450
Laboratory Management organization in Beaufort, South Carolina. Organization record, active in the CMS NPPES registry since November 3, 2025.
## Identity
- **NPI:** 1962371450 (Entity type: Organization)
- **Enumerated:** November 3, 2025
- **Primary specialty:** Specialist/Technologist, Pathology - Laboratory Management · taxonomy 246QL0900X
- **Organization subpart:** No
- **Authorized official:** Priscilla Jones, CREDENTIALING SPECIALIST
## Practice location
- **Address:** 1261 RIBAUT ROAD, Beaufort, SC 29902
- **Phone:** (843) 783-2273
## Record status
- **NPPES last updated:** May 15, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1962371450) · Data from the CMS NPPES public registry.