Organization
LABORATORY CORPORATION OF AMERICA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY WILLIAMS (VICE PRESIDENT)
(800) 222-7566
Entity
Organization
Contact information
Practice address
201 TAHOMA BLVD SE UNIT 104, YELM, WA 98597-7735
(360) 400-1143
Mailing address
PO BOX 2240, BURLINGTON, NC 27216-2240
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50D1025241
CLIA
—
Enumeration date
11/28/2017
Last updated
02/08/2018
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