Organization · Type 2 NPI

Legacy Path LLC

Anatomic Pathology & Clinical Pathology Physician · South Bend, IN

NPI number 1205693728 Active

Practice location

3355 Douglas Rd
South Bend, IN 46635-1779

Mailing address

PO Box 10961
Fort Wayne, IN 46855-0961

Specialties and licenses

TaxonomyCodeLicense
Anatomic Pathology & Clinical Pathology Physician Primary 207ZP0102XNone listed

Anatomic Pathology & Clinical Pathology Physician: 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, ex…

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About NPI 1205693728

Legacy Path LLC's National Provider Identifier is 1205693728, issued on Mar 1, 2024. The primary taxonomy on file is Anatomic Pathology & Clinical Pathology Physician (207ZP0102X), and the practice location is in South Bend, IN. The record was last updated on Jul 16, 2026.