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

Southeast Pathology Consultants, Inc

Organization Clinical Medical Laboratory · NPI 1720546468

Southeast Pathology Consultants, Inc is a Clinical Medical Laboratory in Charlotte, North Carolina. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1815 Back Creek Dr Ste 100
Charlotte, NC 28213-2159
Phone: (980) 721-6622
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X

Record details

NPI number1720546468
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Omar Idlibi — Pathologist · (980) 721-6622
NPI enumeratedMarch 12, 2019
Last updated in NPPESFebruary 4, 2020
Certification dateFebruary 4, 2020
Mailing address1815 Back Creek Dr Ste 100, Charlotte, NC 28213-2159

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