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NPI Code Detail

MEDICARE: LABORATORY CORPORATION OF AMERICA

MEDICARE: LABORATORY CORPORATION OF AMERICA
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
150D2108309OTHERCLIA

General Provider Information

NPI Number : 1043885247
Entity Type Code : Organization
Provider Name (Legal Business Name) : LABORATORY CORPORATION OF AMERICA
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 : 6710 W OKANOGAN PL
Second Line : ROOM LABORATORY
City : KENNEWICK
State : WA
Zip : 99336-8001
Country : US
Telephone Number : 509-308-2306
Fax Number :
Authorized Official
Title or Position : VICE PRESIDENT
Name : KIMBERLY T WILLIAMS
Credential :
Telephone Number : 800-222-7566
Provider Enumeration Date : 05/21/2021
Last Update Date : 03/02/2022

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