Organization · Type 2 NPI
Indian River Pathology LLC
Clinical Medical Laboratory · Port St. Lucie, FL
Practice location
6696 S US Highway 1
Port St. Lucie, FL 34952-1423
Fax (772) 466-0662
Mailing address
PO Box 881016
Port St. Lucie, FL 34988-1016
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anatomic Pathology Physician | 207ZP0101X | None listed |
| Clinical Medical Laboratory Primary | 291U00000X | ME46694 (FL) |
Clinical Medical Laboratory: (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 det…
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About NPI 1477513323
Indian River Pathology LLC's National Provider Identifier is 1477513323, issued on Mar 24, 2006. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Port St. Lucie, FL. The record was last updated on Jun 10, 2026.