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NPI Code Detail

MEDICARE: LABORATORY CORPORATION OF AMERICA HOLDINGS

MEDICARE: LABORATORY CORPORATION OF AMERICA HOLDINGS
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
117D2056131OTHERCLIA

General Provider Information

NPI Number : 1073956355
Entity Type Code : Organization
Provider Name (Legal Business Name) : LABORATORY CORPORATION OF AMERICA HOLDINGS
Provider Business Mailing Address
First Line : PO BOX 2240
Second Line :
City : BURLINGTON
State : NC
Zip : 27216-2240
Country : US
Telephone Number : 800-222-7566
Fax Number :
Provider Business Practice Location Address
First Line : 700 W CENTRAL AVE STE 201
Second Line :
City : EL DORADO
State : KS
Zip : 67042-2186
Country : US
Telephone Number : 316-621-4326
Fax Number :
Authorized Official
Title or Position : VP
Name : KIMBERLY WILLIAMS
Credential :
Telephone Number : 800-222-7566
Provider Enumeration Date : 04/17/2013
Last Update Date : 01/02/2014

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Directions to “LABORATORY CORPORATION OF AMERICA HOLDINGS ” Practice Location

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