Organization
LABORATORY CORPORATION OF AMERICA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVAN T SMITH (VICE PRESIDENT)
(336) 209-8960
Entity
Organization
Contact information
Practice address
4747 N KEDZIE AVE, CHICAGO, IL 60625-4420
(555) 555-5555
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
—
14D2332254
CLIA
—
Enumeration date
04/06/2026
Last updated
04/06/2026
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