Organization
LABORATORY CORPORATION OF AMERICA HOLDINGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY T WILLIAMS (VICE PRESIDENT)
(336) 436-5402
Entity
Organization
Contact information
Practice address
1320 S WISCONSIN ST, HOBART, IN 46342-5502
(219) 945-9180
(219) 661-8066
Mailing address
PO BOX 2240, BURLINGTON, NC 27216-2240
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15D2111960
CLIA
—
Enumeration date
10/27/2020
Last updated
10/27/2020
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