Organization
LABORATORY CORPORATION OF AMERIC HOLDINGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY WILLIAMS (VP)
(800) 222-7566
Entity
Organization
Contact information
Practice address
5304 INDIAN GRAVE RD, SUITE L, ROANOKE, VA 24018-9100
(540) 725-2048
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
—
49D2092504
CLIA
—
Enumeration date
11/16/2015
Last updated
11/16/2015
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