Organization
LABORATORY CORPORATION OF AMERICA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY T WILLIAMS (VICE PRESIDENT)
(336) 222-7566
Entity
Organization
Contact information
Practice address
1506 SIOUX DR, MARION, IL 62959-5209
(336) 222-7566
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
—
14D2286810
CLIA
—
Enumeration date
09/13/2023
Last updated
09/13/2023
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