Legacy Path LLC

Legacy Path LLC is a healthcare organization registered as Anatomic Pathology & Clinical Pathology Physician in South Bend, IN, holding Type 2 (organization) NPI 1205693728 since 2024. The authorized official on file is Terry Pipp, Cfo.

✓ Active NPI ✓ Valid NPI checksum

NPI	1205693728
Entity type	Organization (Type 2)
Legal business name	Legacy Path LLC
Practice address	3355 DOUGLAS RD, South Bend, IN, 46635
Phone	5742344176
Enumeration date	2024-03-01
Last updated in NPPES	2024-06-21

Authorized official

Name	Terry Pipp
Title	Cfo
Phone	8002888325

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	Primary	—	—

Copy-ready billing details

Provider: Legacy Path LLC
NPI: 1205693728
Taxonomy: 207ZP0102X (Anatomic Pathology & Clinical Pathology Physician)
Address: 3355 DOUGLAS RD, South Bend, IN, 46635

Providers at this address

NPI	Name	Type	Specialty	Location
1649241084	South Bend Medical Foundation, Inc	Organization	Anatomic Pathology & Clinical Pathology Physician	South Bend, IN
1962594929	Kristen Jacobs	Individual	Anatomic Pathology & Clinical Pathology Physician	South Bend, IN
1790859403	Beacon Health Ventures Inc	Organization	Home Infusion Therapy Pharmacy	South Bend, IN
1750502878	Tyrone Armstead	Individual	Pharmacist	South Bend, IN
1053524058	Ann Moore	Individual	Pharmacist	South Bend, IN
1053599613	Memorial Home Care, Inc.	Organization	Durable Medical Equipment & Medical Supplies	South Bend, IN
1750558078	Memorial Home Care, Inc.	Organization	Durable Medical Equipment & Medical Supplies	South Bend, IN
1699102046	Beacon Health Ventures, Inc	Organization	Home Infusion Therapy Pharmacy	South Bend, IN

Verify this record

Cross-check NPI 1205693728 against the authoritative CMS record: view Legacy Path LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Legacy Path LLC located?

The practice location on file with NPPES is in South Bend, IN.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-06-21. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-06-21.