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Organization
VIVID PATHOLOGY PA
Active
Organization
VIVID PATHOLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER S DADISMAN MD (PRESIDENT)
(866) 697-8378
Entity
Organization
Contact information
Practice address
4900 BAYOU BLVD STE 204, PENSACOLA, FL 32503-2533
(850) 867-8177
(850) 876-6727
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
65194
FL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME53456
FL
291U00000X
Clinical Medical Laboratory
—
FL
Other
Enumeration date
03/07/2006
Last updated
01/15/2026
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