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NPI Code Detail

MEDICARE: LABORATORY CORPORATION OF AMERICA HOLDINGS

MEDICARE: LABORATORY CORPORATION OF AMERICA HOLDINGS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1291U00000XClinical Medical Laboratory

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
151D2164533OTHERCLIA

General Provider Information

NPI Number : 1235784745
Entity Type Code : Organization
Provider Name (Legal Business Name) : LABORATORY CORPORATION OF AMERICA HOLDINGS
Provider Business Mailing Address
First Line : PO BOX 2240
Second Line :
City : BURLINGTON
State : NC
Zip : 27216-2240
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1345 MERCER ST
Second Line :
City : PRINCETON
State : WV
Zip : 24740-3033
Country : US
Telephone Number : 304-716-4438
Fax Number :
Authorized Official
Title or Position : VICE PRESIDENT
Name : KIMBERLY T WILLIAMS
Credential :
Telephone Number : 336-436-5402
Provider Enumeration Date : 08/02/2019
Last Update Date : 07/05/2024

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