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
3700 SOUTHERN BLVD, KETTERING, OH 45429-1226
(937) 458-3271
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
—
36D2154228
CLIA
—
Enumeration date
10/11/2018
Last updated
10/15/2018
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