Organization
LABORATORY CORPORATION OF AMERICA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY T WILLIAMS (VICE PRESIDENT)
(336) 436-5761
Entity
Organization
Contact information
Practice address
501 DR MICHAEL DEBAKEY DR STE 200, LAKE CHARLES, LA 70601-5724
(337) 421-0099
Mailing address
PO BOX 2240, BURLINGTON, NC 27216-2240
(336) 222-7566
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19D2244876
CLIA
—
Enumeration date
03/23/2022
Last updated
03/28/2022
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