Organization
MLC PATHOLOGY, INC.
Active
Other names
leo lo conte
Organization subpart
No
Provider details
NPI number
Authorized official
MANLIO (LEO) AUGUSTUS LOCONTE M.D., MPH, FCAP (PRESIDENT)
(781) 861-9649
Entity
Organization
Contact information
Practice address
6 ANGIER RD, LEXINGTON, MA 02420-1609
(781) 861-9649
(781) 863-8031
Mailing address
6 ANGIER RD, LEXINGTON, MA 02420-1609
(781) 861-9649
(781) 863-8031
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102055200
FEDERAL WORKERS COMP
—
01
—
22D0650118
CLIA
—
01
—
612830
TUFTS
MA
05
—
9782737
—
MA
01
—
DA4871
RAILROAD MEDICARE
—
01
—
M16670
BLUE CROSS
MA
Enumeration date
04/27/2006
Last updated
01/13/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us