Organization
LABORATORY CORPORATION OF AMERICA
Active
Organization
LABORATORY CORPORATION OF AMERICA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY WILLIAMS (VP)
(800) 222-7566
Entity
Organization
Contact information
Practice address
1619 NW HAWTHORNE SUITE 202, GRANTS PASS, OR 97526-0000
(800) 598-3345
Mailing address
PO BOX 2240, BURLINGTON, NC 27216-2240
(800) 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
—
38D0628011
CLIA
OR
Enumeration date
12/19/2005
Last updated
02/24/2014
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