Organization
LABORATORY CORPORATION OF AMERICA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY WILLIAMS (VP)
(800) 222-7566
Entity
Organization
Contact information
Practice address
3550 Q STREET STE 102, BAKERSFIELD, CA 93301-1645
(661) 323-3353
(336) 436-1048
Mailing address
P.O. BOX 2240, BURLINGTON, NC 27216-2240
(336) 436-7942
(336) 436-1048
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLF00337236
CA
291U00000X
Clinical Medical Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D1090868
CLIA
—
Enumeration date
01/04/2012
Last updated
02/24/2014
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