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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
134D2152945OTHERCLIA

General Provider Information

NPI Number : 1295203909
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 : 4309 MEDICAL PARK DR STE 200
Second Line :
City : DURHAM
State : NC
Zip : 27704-2389
Country : US
Telephone Number : 919-471-0900
Fax Number :
Authorized Official
Title or Position : VICE PRESIDENT
Name : KIMBERLY T WILLIAMS
Credential :
Telephone Number : 336-436-5402
Provider Enumeration Date : 11/12/2018
Last Update Date : 12/04/2018

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