INDIAN RIVER PATHOLOGY LLC
INDIAN RIVER PATHOLOGY LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1477513323, based in Port St Lucie, FL. The organization lists 2 taxonomy classifications, with Clinical Medical Laboratory recorded as primary.
Getting there
The practice address on file is 6696 S US HIGHWAY 1, Port St Lucie, FL 34952. 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 |
|---|---|---|
| ME46694 | FL | Clinical Medical Laboratory primary |
This provider holds licence ME46694 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 - Clinic/group Practice
- PAC ID
- 7416922539
- Enrollment ID
- O20040831001416
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. 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 Clinical Medical Laboratory covers
(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 determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. NUCC Health Care Provider Taxonomy, code 291U00000X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | ME46694 | FL | primary |
| 207ZP0101X | Anatomic Pathology Physician Anatomic Pathology | — | — |
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 | 1477513323 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Mar 24, 2006 |
| Last updated | Jan 26, 2026 |
| Status | Active |
| Practice address |
6696 S US HIGHWAY 1 Port St Lucie, FL 34952 (772) 466-6651 Fax (772) 466-0662 |
| Mailing address |
PO BOX 881016 Port St Lucie, FL 34988 |
| Other identifiers |
252482100
· Medicaid (FL) 41580 · Other (FL) |
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 | 7 | 7 | 5 | 1 | 3 | 3 | 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 4 | 5 | 7 | 1 | 1 | 6 | 3 | 4 |
Sum = 57 · next multiple of 10 = 60 · check digit = 3 · actual last digit = 3
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.