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

Southern Diagnostic Pathology PC

Organization Clinical Medical Laboratory · NPI 1992681126

Southern Diagnostic Pathology PC is a Clinical Medical Laboratory in Macon, Georgia. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

350 Hospital Dr
Macon, GA 31217-3838
Phone: (478) 765-4872
Fax: (478) 751-7455
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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 number1992681126
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jian Xie — Authorized Signe · (626) 350-0537
Other names Southern Diagnostic Pathology Llc
NPI enumeratedAugust 13, 2025
Last updated in NPPESJuly 31, 2026
Certification dateJuly 31, 2026
Mailing address1111 S. Freeport Pkwy, Coppell, TX 75019-4435

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