Organization
ALLEGIANT PATHOLOGISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH A. LOMBARDO M.D. (PRESIDENT)
(800) 288-8325
Entity
Organization
Contact information
Practice address
300 1ST CAPITOL DR, DEPT. OF PATHOLOGY, SAINT CHARLES, MO 63301-2844
(636) 947-5420
(636) 947-5257
Mailing address
PO BOX 144333, ORLANDO, FL 32814-4333
(407) 422-9831
(407) 648-2065
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
505046409
—
MO
01
—
CH0439
RAILROAD MEDICARE
—
Enumeration date
11/17/2005
Last updated
03/13/2024
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