Organization · Type 2 NPI

Southern Diagnostic Pathology PC

Clinical Medical Laboratory · Macon, GA

NPI number 1992681126 Active

Practice location

350 Hospital Dr
Macon, GA 31217-3838

Fax (478) 751-7455

Mailing address

1111 S. Freeport Pkwy
Coppell, TX 75019-4435

Specialties and licenses

TaxonomyCodeLicense
Clinical Medical Laboratory Primary 291U00000XNone listed

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 1992681126

Southern Diagnostic Pathology PC's National Provider Identifier is 1992681126, issued on Aug 13, 2025. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Macon, GA. The record was last updated on Jul 31, 2026.