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

Legacy Path LLC

Organization Anatomic Pathology & Clinical Pathology Physician · NPI 1205693728

Legacy Path LLC is an Anatomic Pathology & Clinical Pathology Physician in South Bend, Indiana. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3355 Douglas Rd
South Bend, IN 46635-1779
Phone: (574) 234-4176
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X

Record details

NPI number1205693728
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Terry Pipp — Cfo · (800) 288-8325
NPI enumeratedMarch 1, 2024
Last updated in NPPESJuly 16, 2026
Certification dateJuly 16, 2026
Mailing addressPo Box 10961, Fort Wayne, IN 46855-0961

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