Organization
LABORATORY CORPORATION OF AMERICA HOLDINGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY T WILLIAMS (VP)
(336) 436-5402
Entity
Organization
Contact information
Practice address
401 THOMAS RD STE 1, WEST MONROE, LA 71292-7903
(318) 855-1298
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
—
19D0976790
CLIA
—
Enumeration date
06/24/2020
Last updated
03/02/2021
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