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NPI 1447091913

NPI 1447091913 : LABORATORY CORPORATION OF AMERICA HOLDINGS : CUMMING, GA

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General NPI Number Information
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    NPI Number           |    1447091913
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    Entity Type          |    Organization 
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    Legal Business Name  |    LABORATORY CORPORATION OF AMERICA HOLDINGS 
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Dates
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    Enumeration Date     |    06/06/2024
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    Last Update Date     |    07/31/2024
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Provider Practice Location Address
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    Address Line         |    475 TRIBBLE GAP RD 
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    City                 |    CUMMING
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    State                |    GA
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    Zip                  |    30040-2478
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    Country              |    US
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    Telephone            |    678-648-6873
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 2240 
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    City                 |    BURLINGTON
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    State                |    NC
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    Zip                  |    27216-2240
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    VICE PRESIDENT
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    Name                 |     KIMBERLY T WILLIAMS 
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    Credential           |    
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    Telephone            |    336-436-5402
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    291U00000X
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    Taxonomy Name        |    Clinical Medical Laboratory
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    License Number       |    
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    License Number State |    
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