GREENSBORO PATHOLOGY, LLC – Clinical Medical Laboratory, NPI 1952396202

GREENSBORO PATHOLOGY, LLC is a healthcare provider. based in Palm beach gardens, Florida. specializing in Clinical Medical Laboratory. The NPI Number for GREENSBORO PATHOLOGY, LLC is 1952396202

Main info

Organization
Name
GREENSBORO PATHOLOGY, LLC
NPI
1952396202
Phone
(561) 626-5512
Address
11025 RCA CENTER DRIVE
Authorized Official
DINA VALLADARES SR. DIRECTOR
Enumeration Date
13 September 2005
Last Update Date
19 December 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness85
Years active:20State licenses:0Digital endpointsOther names

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Provider Addresses for GREENSBORO PATHOLOGY, LLC

  • 11025, RCA Center Drive, Monet, North Palm Beach, Palm Beach Gardens, Palm Beach County, Florida, 33410, United States

    SUITE 300

    PALM BEACH GARDENS, FL 334104269

    Phone: (561) 626-5512

    Fax: (561) 626-4530

    Type: Mailing

  • 706, Green Valley Road, Greensboro, Guilford County, North Carolina, 27403, United States

    SUITE 104

    GREENSBORO, NC 274087038

    Phone: (336) 271-4930

    Fax: (336) 271-8466

    Type: Location

  • 1355 RIVER BEND DR

    DALLAS, TX 752474915

    Phone: (214) 638-2000

    Fax: (844) 751-9262

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-01-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2025-08-31 (280 days ago).

Enrollment records

2

Earliest due date

2025-08-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20050610000804OIndependent Clinical LaboratoryNC2025-08-31
O20260109000682OIndependent Clinical LaboratoryVATBD

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33410)

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Reviews

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Frequently asked questions

Does GREENSBORO PATHOLOGY, LLC share an NPI with anyone else?
NPI numbers are unique to each provider or organization — GREENSBORO PATHOLOGY, LLC uses 1952396202.
Does the file indicate GREENSBORO PATHOLOGY, LLC is practicing under active NPI?
Directory data currently reports GREENSBORO PATHOLOGY, LLC as active.
What is GREENSBORO PATHOLOGY, LLC's primary classification?
Clinical Medical Laboratory is the headline specialty for GREENSBORO PATHOLOGY, LLC here. Clinical services aligned with this taxonomy classification.
Where is GREENSBORO PATHOLOGY, LLC based?
GREENSBORO PATHOLOGY, LLC is tied to Palm Beach Gardens, Florida in the data we show; additional addresses may exist on the full record.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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