Vivid Pathology Pa

LBN: Vivid Pathology Pa
Vivid Pathology Pa is an health care organization with primary practice located at 4900 Bayou Blvd Ste 204 , Pensacola FL 32503-2533. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Laboratories / Clinical Medical Laboratory. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is the primary health care specialty. Vivid Pathology Pa can be contacted via phone (850) 867-8177, or through Dadisman, Christopher S via phone (866) 697-8378.

Contact Information

Primary practice address
4900 Bayou Blvd Ste 204 Pensacola FL 32503-2533
Phone: (850) 867-8177
Fax: (850) 876-6727
Website:
Map and Directions
Authorized official contact:
Name: Dadisman, Christopher S Doctor of Medicine (MD)
Phone: (866) 697-8378

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cytopathology 207ZC0500X 65194 Florida
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X ME53456 Florida
Laboratories / Clinical Medical Laboratory 291U00000X Florida

Profile Details

NPI number 1447227590
LBN Legal business name Vivid Pathology Pa
DBA Doing business as
Authorized official Dadisman, Christopher S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 7th, 2006
Last updated Jan 15th, 2026 - about 9 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447227590 NPPES
Florida Other 00378 BCBS
Florida MEDICAID 064208800 BCBS
Florida MEDICAID 529001600 BCBS

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