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
113 SCENIC OUTLET LN UNIT 2, MOUNT AIRY, NC 27030-7017
(336) 352-3364
(336) 352-3365
Mailing address
PO BOX 2240, BURLINGTON, NC 27216-2240
(800) 222-7566
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34D2143656
CLIA
—
Enumeration date
03/02/2018
Last updated
12/18/2019
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