Healthcare Provider Details

I. General information

NPI: 1447946942
Provider Name (Legal Business Name): LABORATORY CORPORATION OF AMERICA HOLDINGS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2023
Last Update Date: 06/27/2023
Certification Date: 06/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 E BETHPAGE RD
PLAINVIEW NY
11803-4224
US

IV. Provider business mailing address

PO BOX 2270
BURLINGTON NC
27216-2270
US

V. Phone/Fax

Practice location:
  • Phone: 516-228-6877
  • 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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier33D2277956
Identifier TypeOTHER
Identifier State
Identifier IssuerCLIA

VIII. Authorized Official

Name: KIMBERLY T WILLIAMS
Title or Position: VICE PRESIDENT
Credential:
Phone: 336-436-5402