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
100 PERIMETER PARK DR STE C, MORRISVILLE, NC 27560-9715
(919) 468-6506
(919) 256-1099
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
—
02844
BCBS
NC
01
—
34D0952253
CLIA
—
05
—
7001236
—
NC
Enumeration date
08/11/2005
Last updated
10/10/2018
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