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

General Provider Information

NPI Number	:	1811970007
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	:	1703 CLEARWATER AVE
Second Line	:
City	:	BLOOMINGTON
State	:	IL
Zip	:	61704-2263
Country	:	US
Telephone Number	:	309-663-6451
Fax Number	:

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

Provider Enumeration Date	:	11/22/2005
Last Update Date	:	04/20/2008

Similar Medicare Providers

1669306775 — GADDI HAVEN LLC
Practice Location Address:

8308 LYNDALE AVE S
BLOOMINGTON, MN
55420-2263

Practice Phone: 612-314-9950
Practice Fax:

1780408278 — BEST OPTION MEDICAL
Practice Location Address:

8308 LYNDALE AVE S
BLOOMINGTON, MN
55420-2263

Practice Phone: 612-203-7090
Practice Fax: 612-850-6052

1821921891 — SYDNEY KUNKEL
Practice Location Address:

507 N HERSHEY RD STE A
BLOOMINGTON, IL
61704-3744

Practice Phone: 309-598-1697
Practice Fax:

1215861182 — DR. NIKOLA PETROVIC DMD
Practice Location Address:

1507 N VETERANS PKWY STE 2
BLOOMINGTON, IL
61704-0916

Practice Phone: 309-490-8089
Practice Fax:

1710493770 — DR. ALEXANDER PERRY WILLETT PSYD
Practice Location Address:

808 S ELDORADO RD STE 102
BLOOMINGTON, IL
61704-6075

Practice Phone: 309-706-3190
Practice Fax: 309-588-4115

1053319392 — CHRISTOPHER SCOT BYERS PT
Practice Location Address:

135 N WILLIAMSBURG DR
BLOOMINGTON, IL
61704-3528

Practice Phone: 309-661-8823
Practice Fax:

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.