Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Indian River Pathology LLC

Organization Anatomic Pathology Physician · NPI 1477513323

Indian River Pathology LLC is an Anatomic Pathology Physician in Port St Lucie, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

6696 S US Highway 1
Port St Lucie, FL 34952-1423
Phone: (772) 466-6651
Fax: (772) 466-0662
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X · Licence ME46694 (FL)
Anatomic Pathology Physician Taxonomy 207ZP0101X

Record details

NPI number1477513323
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shelly Robinson — Revenue Cycle/Credentialing Manager · (770) 490-5009
NPI enumeratedMarch 24, 2006
Last updated in NPPESJune 10, 2026
Certification dateJune 10, 2026
Mailing addressPo Box 881016, Port St Lucie, FL 34988-1016