Organization
STROMSDORFER-TOLOD MEDICAL LAB LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL G STROMSDORFER (M.D.)
(618) 465-4511
Entity
Organization
Contact information
Practice address
1 SAINT ANTHONYS WAY, ALTON, IL 62002-4568
(618) 465-4511
(618) 474-6018
Mailing address
PO BOX 1063, ALTON, IL 62002-1063
(314) 821-8055
(314) 821-1833
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036039355
—
IL
01
—
166253
HEALTHLINK
IL
01
—
43489
GHP
IL
01
—
4503813
AETNA
IL
01
—
50000460
BCBS
IL
01
—
CI7774
TRAVELERS
—
Enumeration date
11/22/2005
Last updated
09/29/2011
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