Healthcare Provider Details

I. General information

NPI: 1295669075
Provider Name (Legal Business Name): COLLO ROSSO PATHOLOGY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

306 LEXINGTON AVE
CHAPIN SC
29036-8086
US

IV. Provider business mailing address

306 LEXINGTON AVE
CHAPIN SC
29036-8086
US

V. Phone/Fax

Practice location:
  • Phone: 803-233-8668
  • Fax: 619-367-0403
Mailing address:
  • Phone: 803-233-8668
  • Fax: 619-367-0403

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZD0900X
TaxonomyDermatopathology (Pathology) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. CURTIS L HARDY
Title or Position: CEO
Credential: DO
Phone: 803-233-8668