Professional Pathology Services PC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PROFESSIONAL PATHOLOGY SERVICES PC

Practice address

1 Science CT
Suite 200
Columbia, SC 29203-9653

Phone

(803) 252-1913

NPI assigned

Jun 6, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Bradley J Marcus, MD

Title

President

Phone

(866) 252-1913

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Professional Pathology Services PC

  • Clinical Medical Laboratory
  • Columbia, SC
  • NPI 1184883910

  O20040212000709

  Same enrollment

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688688000000",
    "number": "1093974834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SCIENCE CT STE 200",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292039653",
            "telephone_number": "866-252-1913",
            "fax_number": "843-664-4308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SCIENCE CT",
            "address_2": "SUITE 200",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292039653",
            "telephone_number": "803-252-1913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL PATHOLOGY SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-06",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A",
        "authorized_official_last_name": "MARCUS",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "866-252-1913",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Procare Health Assessors LLC
• Procare Home Care Inc
• Procare Pharmacy, LLC.
• Natalie Renee Prochak, MD
• Leslie A. Proctor, PHARM.D, BCPS
• Professional Pathology Services PC
• Professional Pathology Services, PC
• Professional Productions
• Sherica Proffitt, OTR/L
• Shayla Profit

• Clinical Medical Laboratory in Columbia, SC
• Providers in Columbia, SC by specialty
• Clinical Medical Laboratory in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.