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General NPI Number Information
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NPI Number | 1821368101
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Entity Type | Organization
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Legal Business Name | LABORATORY CORPORATION OF AMERICA
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Dates
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Enumeration Date | 01/04/2012
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2111 IOWA AVE STE G
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City | RIVERSIDE
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State | CA
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Zip | 92507-7414
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Country | US
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Telephone | 951-222-4592
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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 | 800-222-7566
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Fax | 336-436-1048
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Authorized Official
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Title or Position | VP
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Name | KIMBERLY WILLIAMS
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Credential |
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Telephone | 800-222-7566
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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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