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
1	291U00000X	Clinical Medical Laboratory

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	11D1084255	OTHER		CLIA

General Provider Information

NPI Number	:	1467612531
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	:	1100 LAKE HEARN DR NE STE 350
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30342-1551
Country	:	US
Telephone Number	:	404-255-0015
Fax Number	:

Authorized Official
Title or Position	:	CFO EVP TREASURER
Name	:	MR. WILLIAM B HAYES
Credential	:
Telephone Number	:	800-222-7566

Provider Enumeration Date	:	06/12/2008
Last Update Date	:	06/12/2008

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