Organization
LABORATORY CORPORATION OF AMERICA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY WILLIAMS (VICE PRESIDENT)
(336) 436-5761
Entity
Organization
Contact information
Practice address
1285 HARTREY AVE, EVANSTON, IL 60202-1056
(847) 666-2302
Mailing address
PO BOX 2240, BURLINGTON, NC 27216-2240
(336) 222-7566
(336) 436-1048
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14D2173936
CLIA
—
Enumeration date
11/11/2019
Last updated
02/03/2020
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