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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
134D2312278OTHERCLIA

General Provider Information

NPI Number : 1295556199
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 :
Fax Number :
Provider Business Practice Location Address
First Line : 200 SWINBURNE ST
Second Line :
City : RALEIGH
State : NC
Zip : 27610
Country : US
Telephone Number : 919-436-2254
Fax Number :
Authorized Official
Title or Position : VICE PRESIDENT
Name : EVAN T SMITH
Credential :
Telephone Number : 336-209-8960
Provider Enumeration Date : 10/23/2024
Last Update Date : 03/05/2026

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Directions to “LABORATORY CORPORATION OF AMERICA HOLDINGS ” Practice Location

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