Stromsdorfer-Tolod Medical Lab LTD.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

STROMSDORFER-TOLOD MEDICAL LAB LTD.

Practice address

1 Saint Anthonys Way
Alton, IL 62002-4568

Phone

(618) 465-4511

Fax

(618) 474-6018

NPI assigned

Nov 22, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Paul G Stromsdorfer

Title

M.D.

Phone

(618) 465-4511

Specialties & licenses 1

Addresses

Other identifiers 6

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vidya Deshpande, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Belleville, IL
  • NPI 1255316725
  NPD (past)
• Isidro S Tolod, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Alton, IL
  • NPI 1063495059
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317254400000",
    "number": "1659354645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1063",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620021063",
            "telephone_number": "314-821-8055",
            "fax_number": "314-821-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SAINT ANTHONYS WAY",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620024568",
            "telephone_number": "618-465-4511",
            "fax_number": "618-474-6018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STROMSDORFER-TOLOD MEDICAL LAB LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-22",
        "last_updated": "2011-09-29",
        "status": "A",
        "authorized_official_last_name": "STROMSDORFER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "618-465-4511"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036039355",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "166253",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4503813",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "50000460",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS",
            "identifier": "CI7774",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHP",
            "identifier": "43489",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John W Stirton, MD
• Chloe Sapphire Stockard, BA
• Tammy Straeter, LCPC
• Elizabeth Street, MA
• Roxanne R Strohbeck
• Steven Joseph Strope, MD
• Mary Stuart
• James Watson Stubbs Jr., MD
• Jeremie Studnicki, PHARMD
• Kerry Studnicki, RPH

• Clinical Medical Laboratory in Alton, IL
• Providers in Alton, IL by specialty
• Clinical Medical Laboratory in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.