VIVID PATHOLOGY PA
VIVID PATHOLOGY PA is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1447227590, based in Pensacola, FL. The organization lists 3 taxonomy classifications, with Anatomic Pathology & Clinical Pathology Physician recorded as primary.
Getting there
The practice address on file is 4900 BAYOU BLVD STE 204, Pensacola, FL 32503. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| ME53456 | FL | Anatomic Pathology & Clinical Pathology… primary |
| 65194 | FL | Cytopathology Physician |
This provider holds licence ME53456 issued in FL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Independent Clinical Laboratory
- PAC ID
- 9133106784
- Enrollment ID
- O20041116001055
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Independent Clinical Laboratory. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Anatomic Pathology & Clinical Pathology covers
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, exclusion and monitoring of disease. NUCC Health Care Provider Taxonomy, code 207ZP0102X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician Anatomic Pathology & Clinical Pathology | ME53456 | FL | primary |
| 207ZC0500X | Cytopathology Physician Cytopathology | 65194 | FL | |
| 291U00000X | Clinical Medical Laboratory | — | FL |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1447227590 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Mar 7, 2006 |
| Last updated | Jan 15, 2026 |
| Status | Active |
| Practice address |
4900 BAYOU BLVD STE 204 Pensacola, FL 32503 (850) 867-8177 Fax (850) 876-6727 |
| Mailing address |
5700 SOUTHWYCK BLVD Toledo, OH 43614 |
| Other identifiers |
00378
· Other (FL) 064208800 · Medicaid (FL) 529001600 · Medicaid (AL) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 4 | 4 | 7 | 2 | 2 | 7 | 5 | 9 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 4 | 8 | 7 | 4 | 2 | 5 | 5 | 9 |
Sum = 70 · next multiple of 10 = 70 · check digit = 0 · actual last digit = 0
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.