Indian River Pathology LLC
NPI 1477513323 · Clinical Medical Laboratory · Port St Lucie, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Indian River Pathology LLC is a Clinical Medical Laboratory organization in Port St Lucie, FL (NPI 1477513323).
Provider details
- NPI number
- 1477513323
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Shelly Robinson, Revenue Cycle/Credentialing Manager(770) 490-5009
Specialties & taxonomies
Laboratories
- Anatomic Pathology Physician207ZP0101X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-03-24
- Last updated
- 2026-01-26
- Certified
- 2026-01-26
Frequently asked questions
- What is Indian River Pathology LLC's NPI number?
- Indian River Pathology LLC's National Provider Identifier (NPI) is 1477513323, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Indian River Pathology LLC?
- Indian River Pathology LLC is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is Indian River Pathology LLC located?
- Indian River Pathology LLC's practice location on file with NPPES is 6696 S US Highway 1, Port St Lucie, FL 34952-1423.
- What is Indian River Pathology LLC's phone number?
- The practice phone number listed in the NPPES registry for Indian River Pathology LLC is (772) 466-6651.
- Does Indian River Pathology LLC accept Medicare?
- Indian River Pathology LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Indian River Pathology LLC?
- The authorized official listed on Indian River Pathology LLC's NPPES record is Shelly Robinson, Revenue Cycle/Credentialing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Indian River Pathology LLC's NPI active?
- Yes — Indian River Pathology LLC's NPI (1477513323) is active in the NPPES registry as of the last update on 2026-01-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.