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
1025 MICHIGAN AVE, LOGANSPORT, IN 46947-1593
(574) 370-9853
(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
—
15D0680842
CLIA
—
Enumeration date
09/18/2019
Last updated
10/14/2019
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