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
125 QUEENS RD STE 370, CHARLOTTE, NC 28204-3215
(704) 598-7300
(704) 921-6367
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
—
34D2192151
CLIA
—
Enumeration date
09/17/2020
Last updated
09/30/2020
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