Healthcare Provider Details

I. General information

NPI: 1174454870
Provider Name (Legal Business Name): LABORATORY CORPORATION OF AMERICA HOLDINGS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4630 VALAIS CT
JOHNS CREEK GA
30022-6656
US

IV. Provider business mailing address

PO BOX 2240
BURLINGTON NC
27216-2240
US

V. Phone/Fax

Practice location:
  • Phone: 888-888-8888
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: EVAN T SMITH
Title or Position: VP OF REVENUE CYCLE MANAGEMENT
Credential:
Phone: 336-209-8960