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Indian River Pathology LLC

Clinical Medical Laboratory in Port St Lucie, FL · enumerated 2006 · authorized official Shelly Robinson, Revenue Cycle/Credentialing Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1477513323

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Registry record

Entity type Organization (Type 2)
Legal business name Indian River Pathology LLC
Practice address 6696 S Us Highway 1, Port St Lucie, FL, 34952
Fax (772) 466-0662
Enumeration date Mar 24, 2006
Last updated in NPPES Jun 10, 2026

Taxonomy & classification

207ZP0101X Anatomic Pathology Physician Allopathic & Osteopathic Physicians Secondary
291U00000X Clinical Medical Laboratory Laboratories · License ME46694 (FL) Primary

Authorized official

Name Shelly Robinson
Title Revenue Cycle/Credentialing Manager

Other identifiers

Identifier Type State Issuer
252482100 Medicaid FL -
41580 Other FL BLUECROSS

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.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2026-06-10. Verify at npiregistry.cms.hhs.gov.
Where is Indian River Pathology LLC located?
The practice location on file with NPPES is in Port St Lucie, FL.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-06-10.