Piedmont Pathology is one of the oldest, most technically sophisticated, and respected pathology practices in the southeast United States. Established in 1967 by Dr. Guy J. Guarino, Piedmont Pathology became the first subspecialty trained and board certified pathology group serving western North Carolina. Since then we have grown into a truly regional pathology network serving patients all over the Carolinas, as well as parts of the entire eastern US.


An autopsy is a thorough external and internal postmortem examination to determine the cause of death and to evaluate any disease or injury that may be present for personal, medical, or familial purposes.

Piedmont Pathology is a full service autopsy practice based in Hickory, NC. Our practice was founded in 1967 and has been providing autopsy services privately and for the North Carolina State Medical Examiner System for over 55 years.

Our physicians have had the most comprehensive training and have been recruited from the finest pathology programs including: Memorial Sloan-Kettering Cancer Center, Duke University Medical Center, Wake Forest University Baptist Medical Center and the University of North Carolina Medical Center at Chapel Hill.

We provide cutting-edge diagnostic services to patients in rural and under served regions of Western North Carolina as well as larger metropolitan areas in South Carolina, Georgia, Florida, and New Jersey.

All of our medical staff is board certified in Clinical Pathology as well as Anatomic Pathology with expertise in Microbiology, Hematology, Chemistry and Body Fluid Analysis. Our medical staff facilitates the highest levels of laboratory competence and certification in each of our network hospitals.


Contact Us

Below are our various methods of contact. Please reach out to us with any questions or inquiries that you might have. We welcome any and all correspondence.


1899 Tate Blvd, SE
Suite 1105
Hickory, NC 28602, USA

Phone Number

(828) 322-3821

Toll Free

(888) 339-8147

Fax Number

(828) 322-1122