Organization
LABORATORY CORPORATION OF AMERICA HOLDINGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY T WILLIAMS (VP)
(336) 436-5402
Entity
Organization
Contact information
Practice address
12525 PERKINS RD STE C, BATON ROUGE, LA 70810-1907
(225) 768-8103
Mailing address
PO BOX 2240, BURLINGTON, NC 27216-2240
(336) 222-7566
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19D0462635
CLIA
—
Enumeration date
06/22/2020
Last updated
06/22/2020
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