Allegiant Solutions LLC
Organization Active NPI Clinical Medical Laboratory · Valdosta, GA
NPI 1871190686 · NPPES record last updated Nov 4, 2021
Key facts
- NPI
- 1871190686
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- Legal business name
- ALLEGIANT SOLUTIONS LLC
- Practice address
- 5101 Northwind Blvd Ste B
Valdosta, GA 31605-7774 - Phone
- (229) 262-7242
- Fax
- (229) 262-7248
- NPI assigned
- Oct 5, 2020
- Organization subpart
- No
Authorized official
- Name
- Mr. Trevor Shaw
- Title
- Manager
- Phone
- (229) 460-8671
National Provider Directory
Locations
5101 Northwind Blvd
Ste B
Valdosta, GA 31605
Phone (229) 262-7242
3312 N Oak Street Ext
Ste G
Valdosta, GA 31605
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Yes |
Addresses
Primary practice location
5101 Northwind Blvd Ste B
Valdosta, GA 31605-7774
Mailing address
5101 Northwind Blvd Ste B
Valdosta, GA 31605-7774
Phone (229) 262-7242
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003245188A | Medicaid | GA |
Other providers in Valdosta, GA
- Haley L. Alexander
- Miriam Denise Alexander
- Talya Alexander
- Tonyour M Alexander
- Zoha Allahuddin
- Amiya M Allen
- Ana Maria Allen
- Jennifer Allen
- Lauren Ashley Garcia Allen
- Lela Faircloth Allen
All providers in Valdosta, GA · Clinical Medical Laboratory in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.