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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
111D1022732OTHERGACLIA

General Provider Information

NPI Number : 1831172014
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 : 336-436-1048
Provider Business Practice Location Address
First Line : 303 SMITH ST
Second Line :
City : LAGRANGE
State : GA
Zip : 30240-2745
Country : US
Telephone Number : 706-812-4238
Fax Number :
Authorized Official
Title or Position : VP
Name : KIMBERLY WILLIAMS
Credential :
Telephone Number : 800-222-7566
Provider Enumeration Date : 11/22/2005
Last Update Date : 11/08/2013

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