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Organization

LABCORP INDIANA INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIMBERLY T WILLIAMS (VICE PRESIDENT)
(800) 222-7566
Entity
Organization

Contact information

Practice address
1101 MICHIGAN AVE, LOGANSPORT, IN 46947-1528
(574) 413-8044
(574) 753-1431
Mailing address
231 MAPLE AVE, BURLINGTON, NC 27215-5848

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
15D2171147
CLIA
Enumeration date
09/11/2019
Last updated
10/14/2019
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