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
1	291U00000X	Clinical Medical Laboratory

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	14D0703742	OTHER	IL	CLIA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083698534
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	:	800-222-7566
Fax Number	:	336-436-1048

Provider Business Practice Location Address
First Line	:	150 SPRING LAKE DR
Second Line	:
City	:	ITASCA
State	:	IL
Zip	:	60143-2025
Country	:	US
Telephone Number	:	630-694-7400
Fax Number	:

Authorized Official
Title or Position	:	VP
Name	:	KIMBERLY WILLIAMS
Credential	:
Telephone Number	:	800-222-7566

Provider Enumeration Date	:	11/29/2005
Last Update Date	:	01/26/2015

Similar Medicare Providers

1861349359 — ISABELLA NICOLE WALLI
Practice Location Address:

975 W HAWTHORN DR
ITASCA, IL
60143-2056

Practice Phone: 800-844-1232
Practice Fax:

1396691135 — MARIO GARNELLO
Practice Location Address:

975 W HAWTHORN DR
ITASCA, IL
60143-2056

Practice Phone: 800-844-1232
Practice Fax:

1093706319 — DR. RICHA VARMA MD
Practice Location Address:

1300 N ARLINGTON HEIGHTS RD STE 130
ITASCA, IL
60143-3128

Practice Phone: 847-871-4540
Practice Fax: 630-246-6650

1073595690 — ASHISH C BHATIA M.D.
Practice Location Address:

550 E DEVON AVE STE 200
ITASCA, IL
60143-2639

Practice Phone: 864-625-3376
Practice Fax: 855-792-2250

1982679015 — JOSEPH DAW JR. MD, DDS
Practice Location Address:

550 E DEVON AVE STE 200
ITASCA, IL
60143-2639

Practice Phone: 864-625-3376
Practice Fax:

1255300042 — TE SHAO HSU MD
Practice Location Address:

550 E DEVON AVE STE 200
ITASCA, IL
60143-2639

Practice Phone: 864-625-3376
Practice Fax: 855-792-2250

Directions to “LABORATORY CORPORATION OF AMERICA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.