MEDICARE: LABORATORY CORPORTION OF AMERICA

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
1	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1265413884
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LABORATORY CORPORTION OF AMERICA

Provider Business Mailing Address
First Line	:	PO BOX 2240
Second Line	:
City	:	BURLINGTON
State	:	NC
Zip	:	27216-2240
Country	:	US
Telephone Number	:	800-222-7566
Fax Number	:	336-436-1048

Provider Business Practice Location Address
First Line	:	8301 CYPRESS PLAZA DR
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256-4420
Country	:	US
Telephone Number	:	813-289-5227
Fax Number	:

Authorized Official
Title or Position	:	CFO/EVP/TREASURER
Name	:	WILLIAM B HAYES
Credential	:
Telephone Number	:	800-222-7566

Provider Enumeration Date	:	11/10/2005
Last Update Date	:	08/17/2007

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Directions to “LABORATORY CORPORTION OF AMERICA ” Practice Location

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