# VIVID PATHOLOGY PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447227590
- **Authorized official:** DR. CHRISTOPHER S DADISMAN MD (PRESIDENT)
- **Authorized official phone:** (866) 697-8378

## Contact information

- **Practice address:** 4900 BAYOU BLVD STE 204, PENSACOLA, FL 32503-2533
- **Practice address phone:** (850) 867-8177
- **Practice address fax:** (850) 876-6727
- **Mailing address:** 5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
- **Mailing address phone:** (800) 288-8325
- **Mailing address fax:** (419) 866-5453

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZC0500X | Cytopathology Physician | 65194 | FL | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | ME53456 | FL | Yes |
| 291U00000X | Clinical Medical Laboratory | — | FL | — |

## Other

- **Enumeration date:** 03/07/2006
- **Last updated:** 01/15/2026