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
15 CORPORATE DR STE 2-2, TRUMBULL, CT 06611-1351
(203) 445-6226
(203) 261-5332
Mailing address
PO BOX 2240, BURLINGTON, NC 27216-2240
(336) 436-5884
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07D2195226
CLIA
—
Enumeration date
01/12/2021
Last updated
01/12/2021
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