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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
144D1049166OTHERTNCLIA

General Provider Information

NPI Number : 1578533048
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 : 117 KENNEDY DR
Second Line :
City : MARTIN
State : TN
Zip : 38237-3309
Country : US
Telephone Number : 731-587-2231
Fax Number :
Authorized Official
Title or Position : VP
Name : KIMBERLY WILLIAMS
Credential :
Telephone Number : 800-222-7566
Provider Enumeration Date : 01/25/2006
Last Update Date : 12/19/2013

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143 KENNEDY DR , SUITE A
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1962480368 — SURESH THOTA MD
Practice Location Address:
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1538135314 — MICHAEL TRENT SCATES PA-C, M.S.
Practice Location Address:
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1215997077 — KEITH THOMPSON MD
Practice Location Address:
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Directions to “LABORATORY CORPORATION OF AMERICA ” Practice Location

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