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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PATHOLOGIC DIAGNOSTIC LLC
NPI 1962371450
Pathology - Dermatopathology in Beaufort, SC

Active since November 03, 2025CLIA 42D2326626 · Certificate of Compliance
1261 RIBAUT ROAD, BEAUFORT, SC 29902(843) 783-2273 Get Directions Write a Review

NPPES record last updated: September 8, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 8, 2026, May 15, 2026, Mar 13, 2026 and 1 more (4 updates tracked since 2025).

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 dermatopathology 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 Manager, as its authorized official.

NPPES Registry Identity

NPI1962371450
Entity TypeOrganization
Primary Taxonomy207ZD0900X
Legal Business NamePATHOLOGIC DIAGNOSTIC LLC
Location Address1261 RIBAUT ROADBeaufort, SC 29902
Mailing Address219 W Bryan St Ste 200Savannah, GA 31401-2542
Phone(843) 783-2273
Organization SubpartNo
Authorized OfficialPriscilla JonesCredentialing Manager · (912) 925-0067
Enumeration DateNovember 3, 2025
Last NPPES UpdateSeptember 8, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2026
✔ NPI 1962371450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · DermatopathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZD0900X
Definition
A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy.
Also ListedPathology · Anatomic Pathology & Clinical PathologyTaxonomy 207ZP0102X
1261 RIBAUT ROAD, Beaufort, SC 29902
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Compliance 42D2326626

Pathologic Diagnostics, LLC · Beaufort, SC
Active · expires Jul 7, 2027
CLIA Number42D2326626
Laboratory TypeIndependent
Certificate Effective DateJuly 8, 2025
Certificate Expiration DateJuly 7, 2027
Laboratory DirectorCecilia M. Rosales
Laboratory Phone(843) 683-9487
Laboratory LocationPathologic Diagnostics, LLC1261 Ribaut Road Suite B, Beaufort, SC 29902
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.

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 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 Pathology, specializing in Dermatopathology, with taxonomy code 207ZD0900X.

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 September 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.